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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20180465.tiff
AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SAVIO HOUSE This Agreement Amendment, made and entered into �4' day of 2018 by and between the Board of Weld County Commissioners, on behalf of the Weld Cou y De rtment of Human Services, hereinafter referred to as the "Department", and Savio House, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Aftercare Services, Functional Family Therapy, Home -Based Intensive Services, Kinship Services, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment (Sexual Abuse Intervention) (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2018-0465 approved on February 12, 2018. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2018. • The Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Agreement: 1. WHEREAS, the Colorado Department of Human Services has provided Core Services or other funds to the Department for Aftercare Services, Functional Family Therapy, Home -Based Intensive Services, Kinship Services, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment (Sexual Abuse Intervention). 2. Paragraph 1, Term This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and shall expire May 31, 2019, unless sooner terminated as provided herein. 3. Payment The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary, Cam- 0(-%.� 7 /&- /r OD7f-o<16.6" iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. 4. Exhibit C, Scope of Services, amended as attached. 5. Exhibit D, Payment Schedule, amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: W.AltrAivti v • `kit0' Weld ' ou ty lerk to the Boa d By: Deputy Clerk to e Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair JUL 16 2018 CONTRACTOR: Savio House 325 King Street Denver, Colorado 80219 (303) 225-4040 By: Date: 12,0v1.44 - No ma Aguil 6/ds it' C)2, ave, Executive Director 020/ EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide the following services under this agreement: a. Aftercare b. Foster Parent Consultation (FPC) c. Functional Family Therapy (FFT) d. Home Based Intensive Services (Community Based Services (CBS) -Adolescents) e. Home Based Intensive Services (Community Based Services (CBS) -Child Protection) f. Life Skills g. Mental Health Services (Trauma Informed Cognitive Behavioral Therapy (TF-CBT)) h. Multisystemic Therapy (MST) i. Multisystemic Therapy Problem Sexual Behavior (MST-PSB) j. Sexual Abuse Treatment (Sexual Abuse Intervention (SAI)-Adolescents) k. Sexual Abuse Treatment (Sexual Abuse Intervention (SAI)-Child Protection). 2. Aftercare: Contractor will provide aftercare services to successfully transition children and youth, ages birth to 18 years from out -of -home placement, including foster or kinship care, to permanent placement with biological family or another permanent placement. Reunification must be within two to four weeks from the date of the referral. The goals of the program are to build protective capacity, provide comprehensive treatment services, involve extended family/kin members, and develop support resources for long term family stabilization. Services may be eligible for Medicaid depending on the needs of the family. 3. Functional Family Therapy (FFT): Contractor will provide Functional Family Therapy (FFT) services to male and female youth within the approximate age range of 11-18 years of age, and their families, residing in Weld County, as referred by the Department. a. Contractor has an office in Denver. b. Services are usually provided in -home in accordance with the National Functional Family Therapy (FFT) model, and its standards and guidelines. All services are overseen/supervised by a FFT National Consultant. c. FFT utilizes Family Interventions, Cognitive Behavioral Therapy, Family Therapy, school and community interventions, and substance abuse intervention, as clinically appropriate. d. The goal of services is to: i. Reduce recidivism rates; ii. Reduce the number of youth being adjudicated or convicted of new legal violations; and iii. Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. e. Service duration is eight (8) to 12 sessions for mild case and up to 30 sessions for more difficult cases, for an average of 3.5 months. The phases of treatment are as follows: i. Assessment — Assessments are given the first and last sessions, and evaluate the following: 1. Intrapersonal distress (the amount of emotional distress in the adolescent); 2. Somatic (indicates changes in physical complaints by the adolescent); 3. Interpersonal Relations (relationships with parents, other adults and peers); 1 4. Social Problems (problems that are socially related including aggression and delinquency); 5. Behavioral Dysfunction (Inattention, hyperactivity, impulsivity, concentration, ability to organization tasks and ability to handle frustration); 6. Critical Items (paranoia, obsessive -compulsive behaviors, hallucinations, delusions, suicide, mania and eating disorders). ii. Engagement/Motivation Phase (Phase I) 1. Four primary goals: a. Building an alliance between the therapist and each family members and between all family members; b. Reducing negativity and blame; c. Developing a shared family perception of the presenting problems; and d. Building hope and an expectation for change. 2. Two primary techniques used: a. Reframing — Changing the meaning of a behavior, emotion or event; challenging the family by suggesting hope and focusing on a potential for change, and linking family members together to create a more family -focused perspective of the behavior, emotion or event. b. Theme Development — Developing a family theme that describes problematic patters of behaviors and/or relationships in a way that suggests that they may be motivated by positive, though misguided, intent. iii. Behavior Change Phase (Phase II) 1. Three primary goals: a. Help families develop competencies that may facilitate changes in family risk patterns; b. Identify targets of changes; and c. Identify "pathways" of change that fit the family. 2. Contractor will identify risk and protective factors to be targeted for change prior to this phase. 3. Contractor will address four aspects of behavior change: a. Positive Communication b. Positive Parenting c. Successful Problem Solving d. Conflict Management iv. Generalization Phase (Phase Ill) 1. Primary goals are: a. Generalize the changes made in the Behavior change phase to other area of the family relational system; b. Maintain changes made through focused and specific relapse prevention plans; c. Support and extend the changes made by the family incorporating relevant community resources into treatment. 2. Contractor will focus on working with the family on how they will use what they learned in the Behavior Change phase to response to similar struggles within the family and systems around them in the future. Contractor will further work with the family to maintain the changes and normalize the ups and downs of changes, as well as teach the family to identify community resources for the family that will help maintain the changes made. f. Contractor is a Medicaid approved FFT provider. 4. Home Based Services Adolescent: Contractor will provide comprehensive programming, to youth, ages 13 to 20, who are emancipating, and youth 13 to 18 and their families, who are not amenable to other models of in -home services, as referred by the Department. a. Services include the following: i. Skill Building for Youth — Contractor will provide individual counseling to the referred youth as a means of maintaining the therapeutic relationship and teaching/modeling pro -social attitudes and values. Skills will be demonstrated to the youth and the youth will be given the opportunity to practice/role play new skills. All counseling sessions will incorporate the principles of Cognitive Behavioral Therapy and Aggression Replacement Therapy to address issues pertinent to the emancipating youth. ii. Finding and Securing Housing— Contractor will assist youth in identifying and securing housing in a appropriate neighborhood. Neighborhoods will be considered based on the following criteria: 1. Gage or other negative issues of the emancipating youth; 2. Accessibility of public transportation; 3. Proximity to job opportunities; 4. Presence of community and support services (grocery stores, banks, post office, etc.); and 5. Availability of appropriate recreational activities. iii. Budgeting and Managing Money — Contractor will teach youth to establish and maintain a workable budget and pay bills in a timely manner. Contractor will accompany youth to a local bank to establish banking services/accounts and will work with the youth to monitor expenditures and adjust the budget as needed. Youth who have outstanding restitution, the Contractor will ensure a portion of each paycheck is designated towards the youth's legal obligations. iv. Community Resources — Contractor will work with the referred youth to identify needs and interests and will assist the youth in accessing appropriate community resources. This will include completing a checklist that identifies the location of the nearest bank, grocery store, post office and other neighborhood agencies. Contractor also will work with the youth to identify appropriate social supports that will continue to be a part of the youth's life in the future. v. Employment and Vocational Support — Contractor, in collaboration with the referred youth and the caseworker, will determine employment interests, aptitudes and special training completed. Contractor will assist the youth in finding employment, completing applications, developing a resume and interviewing. Transportation services are available to assist the client in accessing resources, applying for jobs, attending interviews, and completing appropriate follow up. The youth also will be taught job maintenance skills. Identified caretakers will be taught to monitor all aspects of the youth's employment including hours worked, attitude, performance and income. vi. Leisure Time — Contractor will work with the referred youth to identify the youth's recreational and social interests and assist the youth in accessing positive, age -appropriate community activities that address those interests. 3 vii. Family Support — Contractor will support the youth's reintegration into the home after placement. The CBS worker can help create household rules and structure individualized to meet the needs of the youth and family. viii. Educational Support — Contractor will evaluate the referred youth's education needs and interests through a review of educational services and plans, discussions and past records during the pre -placement interview to determine what services are required. If the youth is not enrolled in an educational program, Contractor will assist the youth in identifying and enrolling in an educational/vocational program. ix. Parenting Skills for Teen Parents — As applicable, Contractor will provide the referred teen parent, or pregnant teen, with parenting skills training and support. Contractor will determine the needs of the teen or expectant parent and address relevant topics and ensure basic parenting skills are learned. The teen also may be referred to a parenting support and education group. Topics may include, but are not limited to: 1. Newborn/infant/toddler development milestones 2. Basic needs of children 3. Age -appropriate expectations 4. Effective communication and decision -making 5. Positive discipline strategies 6. How to provide a nurturing, safe and consistent environment x. Crisis Intervention — Contractor will provide emergency response services 24 hours a day/7 days a week to assist referred youth and families in crisis. Crisis intervention may be provided by phone or through face-to-face contact dependent upon the nature of the crisis and level of intervention needed. b. Services may be reimbursable under Medicaid depending on the needs of the family. 5. Home Based Intensive Services (Child Protection): Contractor will provide family preservation or reunification services, through their Child Protection Division, to families with children age birth to 12 years, as referred by the Department, and who are in need of transitional services or family preservation services in order to prevent recidivism or placement. a. Contractor utilizes the following assessment tools (Colorado Assessment Continuum): i. North Carolina Family Assessment Scale — Reunification (NCFAS-R); ii. Colorado Risk Assessment and Re -Assessment; and iii. Colorado Safety Assessment and Plan. b. Services will include: i. Team Decision Making (TDM) — Family Group Conferences that involve extended family and kin. ii. Treatment Support Meetings — Family -centered, strength -based monthly staffing process to include parents, extended family, Contractor, Department staff, GAL, and other involved professionals. The process is anchored in the Colorado Assessment Continuum and the focus is on protective concerns that need to be resolved to eliminate the need for Department involvement. A work plan is established with the team outlining specific goals to be accomplished, action steps, strengths, and time frames for completion. iii. Parenting Skills Development — Referred families will receive both group and individual instruction with an emphasis on alternatives to physical discipline, household management, consistent delivery of rules, consequences and rewards; and knowledge of developmental milestones and nutrition. 4 c. Service Objectives: i. Strengthen the family unit with in -home, family dictated services; ii. Reduce child abuse/neglect by teaching parenting skills, eliminating safety concerns and reducing risk factors; iii. Establish permanency for children within reasonable and mandated time frames; and, iv. Provide 24 -hour crisis intervention services. d. It is the goal of services that upon completion, referred families will possess the skills necessary to: Maintain their children in their home; ii. Eliminate the need for Department or agency involvement; iii. No longer abuse or neglect their children; and iv. Improve the overall family functioning. e. Contractor will provide 24 -hour crisis intervention services to referred families. f. Contractor can embed several evidence -based services practices into the Home -Based Child Protection Services Program, including: i. SafeCare (Parenting Skills) ii. Trauma Focused Cognitive Behavioral Therapy (TF CBT) iii. Alternatives to Families: A Cognitive Behavioral Therapy b. Kinship Services: Contractor will provide Kinship Services to kinship providers with children or youth age birth to 18 years of age, who are at risk of placement disruption. The kinship provider(s) must be willing to accept supportive services. Services may be reimbursable under Medicaid depending on the needs of the family. 6. Life Skills (Visitation): Contractor will provide supervised visitation services to families with children, age birth to 18, as referred by the Department. a. Services may include: i. Parenting Services ii. Basic Parenting Skills (burping, diapering, physical care, emotional care) Understanding of Child Development iv. Parenting/Child Bonding v. Discipline/Role Modeling vi. Parent/Child Interactions (listing, communication, non-verbal contact) vii. Interaction Skills with Multiple Children viii. Limit Setting/Alternatives to Physical Discipline ix. Family Planning Information x. Safety and Risk Management/Increasing Protective Capacity xi. Teaching Healthy Boundaries and Appropriate Interactions (Physical, Sexual and Verbal) xii. Health -Related Services xiii. Health Issues (Parent, Child) xiv. Special Needs Child(ren) xv. Mental Health Support Services (Parent, Child) xvi. Impulse Control (Parent, Child) xvii. Anger Management (Parent, Child) xviii. Conflict Resolution xix. Stress Reduction Techniques xx. Domestic Violence Information and Support xxi. Drug/Alcohol Information xxii. Safety Planning for Parent Child 5 xxiii. Nutritional/Dietary Planning xxiv. Home Management Services xxv. Child Proofing Skills/Home Safety Information xxvi. Budgeting/Financial Planning xxvii. Time Management xxviii. Organization Skills (Personal Skills and Home Management) xxix. Education Information (Parent, Child) xxx. Community Resources xxxi. Personalized Services Needed xxxii. Personal Hygiene xxxiii. Self Esteem/Trust Building xxxiv. Emancipation Skills b. Visitation services are not reimbursable under Medicaid, however occasionally a therapeutic need may be addressed under a visitation referral, and that may reimbursable under Medicaid. 7. Mental Health Services: Contractor will provide Trauma -Focused Cognitive Behavioral Therapy (TF CBT) and Alternatives for Families: A Cognitive -Behavioral Therapy. Contractor can provide services in a variety of settings, including in the home, foster home, kinship home, group home or in a residential treatment facility. a. Trauma -Focused Cognitive Behavioral Therapy (TF-CBT): For children and youth, age 3-18 years, experiencing trauma -related difficulties as the result of multiple traumatic events, as referred by the Department. i. TF-CBT is appropriate for children who have experienced the following traumatic events: 1. Child Abuse: Sexual, Physical, Neglect and/or Emotional 2. Victim/Witness of Violence: Domestic, Community and/or School 3. Accidents: Motor Vehicle 4. Disasters 5. War/Terrorism and/or Refugee 6. Medical: e.g. Diagnosis, Invasive Medical Procedures 7. Traumatic Grief and Loss ii. Average of 12-20 sessions, typically 90 minutes in length, once per week. b. Alternatives for Families: A Cognitive -Behavioral Therapy (AF CBT): A Cognitive -Behavioral Therapy designed for families with problems related to the management of anger and/or aggression, which include several behaviors on a continuum reflecting the use of coercion and/or physical force. i. AF-CBT seeks to improve the relationships between children and their parents/caregivers who experience any of the following: 1. Anger and verbal aggressions, including emotional abuse 2. Ongoing family conflict 3. Child behavior problems, including physical aggression 4. Threats or use of harsh/punitive/ineffective physical discipline or punishment 5. Child physical abuse ii. The goals of AF-CBT are: 1. Improve caregiver -child relationships. 2. Strengthen healthy parenting practices. 3. Enhance children's coping and social skills. 6 4. Maintain family safety. 5. Reduce coercive processes (anger, verbal aggression, threats of force, emotional abuse) by caregivers and other family members. 6. Reduce use of physical force (aggressive behavior) by caregivers, child and, if relevant, other family members. 7. Reduce child physical abuse risk or recidivism (prevention of child welfare system involvement or repeated reports/allegations). 8. Improve child safety/welfare and family functioning. iii. Families most appropriate for this service will: 1. Have a child, or children, ages 5-17 2. Include a caregiver who will participate in services, and 3. Appear appropriate for AF-CBT (i.e., can participate adequately, could benefit, may eventually be together/reunified). iv. Families will also have one of the following required characteristics: 1. A caregiver has an allegation or report of suspected physical abuse. 2. A caregiver has done something that resulted or could have resulted in injury/harm to the child. 3. A caregiver has likely use excessive or harsh physical discipline with the child. 4. A caregiver and the child/family have conflicts and/or heated arguments, which may include caregiver verbal aggression/abuse. 5. Chie child has a pattern of oppositional, argumentative, and/or explosive/angry behaviors. 6. The child has been verbally or physically aggressive, or exhibited other high -risk behaviors. 7. The child has trauma symptoms related to a history of physical discipline or abuse. c. Contractor can bill Medicaid for services. 8. Multi -systemic Therapy and Multi -systemic Therapy Problem Sexual Behavior: Contractor will provide Multisystemic Therapy (MST) or Multisystemic Therapy -Problem Sexual Behavior (MST-PSB) services to youth ages 11-18, and their families, with chronic violence or substance abuse issues, as referred by the Department. a. Contractor will provide MST and MST-PSB in accordance with the National Multisystemic model and will comply with its standards and guidelines. b. Services usually occur in the family home or in the community, as appropriate. Contractor also has an office in Longmont, CO. c. The nine (9) core principles of MST are: i. The primary purpose of assessment is to understand the fit between the identified problems and their broader systemic context (how problems "make sense" in a given context). ii. Therapeutic contacts emphasize the positive and use systemic strengths as levers for change. iii. Interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. iv. interventions are present -focused and action -oriented, targeting specific and well- defined problems. v Interventions target sequences of behavior within and between multiple systems that 7 maintain identified problems. vi. Interventions are developmentally appropriate and fit the developmental needs of the youth. vii. Interventions are designed to require daily or weekly effort by family members. viii. Intervention effectiveness is evaluated continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes. ix. Interventions are designed to promote treatment generalization and long-term maintenance of therapeutic change by empowering caregivers to address family members' needs across multiple systemic contexts. d. MST is a short-term and goal -oriented treatment that specifically targets those factors in each youth's social network that are contributing to his or her antisocial behavior. MST interventions typically aim to improve caregiver discipline practices, enhance family affective relations, decrease youth association with deviant peers, increase youth association with pro -social peers, improve youth school or vocational performance, engage youth in pro -social recreational outlets, and develop an indigenous support network of extended family, neighbors, and friends to help caregivers achieve and maintain such changes. Specific treatment techniques used to facilitate these gains are integrated from those therapies that have the most empirical support including cognitive behavioral, behavioral, and the pragmatic family therapies. e. MST-PSB is a specialized, comprehensive MST program designed to meet the needs of juvenile sex offenders reintegrating into the community. Emphasis is placed on aspects of the youth's ecology that specifically relate to the youth's sexual delinquency and on the youth's peer relations so as to encourage age appropriate and normative sexual experiences. Each family referred for MST-PSB will receive three (3) to four (4) hours of service per week for approximately six (6) to eight (8) months, with a focus on caregiver participation. MST-PSB does not utilize group therapy. It is approved by the Sex Offender Management Board (SOMB) as a treatment modality. f. Contractor will be available to referred families 24 hours per day/7 days per week via emergency pager or cell phone. g. Contractor can bill Medicaid for services. 9. Sexual Abuse Treatment (Sexual Abuse Intervention): Contractor will provide Sexual Abuse Intervention (SAl) services to youth, ages 12-18, who have committed sexual offenses, both adjudicated and non - adjudicated, or youth displaying boundary for harassment issues, as referred by the Department. Caregivers for referred youth must be willing to participate in the program and provide the necessary monitoring and supervision. a. Services occur in the client's home and/or community. b. Services will focus on the following: i. Identifying high -risk situations; ii. Safety planning; iii. Relapse prevention; iv. Community and family support as youth reintegrates into the community; and, v. Independent living skills. c. Contractor utilizes a high level of supervision and involvement and emphasizes community safe and client accountability at all times. Services are comprehensive, providing individual offense specific therapy, family therapy, offenses specific group therapy, facilitation of polygraph testing, informed supervision training as needed, assistance with independent living skills for 8 emancipating youth, school containment planning and home and community checks to ensure safety and supervision plans are followed. d. Key program concepts include: i. Community safety is the primary concern. ii. Assessment of clients with sexual offenses is an ongoing process; therefore, level of risk is not constant over time. iii, Victims have a right to safety and self-determination. iv. Remorse and empathy should be expressed through accountability to victims. v. Youth who are sexually abusive have often been victims of abuse and neglect themselves; it is important that they experience empathy and support from others while being challenged to develop this capacity themselves. vi. Treatment of clients with sexual offenses requires a coordinated team response. vii. Effective treatment focuses both on extinguishing deviant and abusive behaviors and on addressing healthy, age -appropriate development and sexuality. Treatment should also address improving social and emotional skills and development. viii. Successful treatment and supervision of clients with sexual offenses is enhanced by the positive cooperation of family, friends, employers and members of the community who have influence in their lives. ix. Treatment of clients with sexual offenses should seek, whenever possible, to strengthen clients' emotional ties to family, friends and community. 10. Contractor will offer an initial appointment within seven (7) days of receiving the referral and will make at least three (3), attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 11. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 12. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 13. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 14. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 15. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor, 16. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 9 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 2019. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $1,155.50/Month (Aftercare) $1,000.00/Month (Functional Family Therapy) $1,300.00/Month (Functional Family Therapy Contingency Management) $1,600.00/Month (Home Based - Child Protection Services) $1,675.00/Month (Home Based - Child Protection with Embedded Evidence Based Services) $1,814.00/Month (Home Based - Adolescent Services) $1,600.00/Month (Kinship Services) $75.00/Hour (Life Skills - Supervised Visitation) $1,082.00/Month (Mental Health Services - TF-CBT and AF-CBT) $1,794.00/Month (Multi -systemic Therapy) $2,094.00/Month (Multi -systemic Therapy Contingency Management) $1,933.00/Month (Sexual Abuse Intervention) 52,737.00/Month (Multi -systemic Problem Sexual Behavior) All monthly services are pro -rated for any partial month of service. Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 1 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7"' day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 ® AG'iR0CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/03/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Insurance Services West, Inc. Denver CO Office 1900 16th Street, Suite 1000 Denver CO 80202 USA CONTACT NAME: PHONE (303) 758-7688 I FAX (303) 758-9458 (AIC. No. Ext): (A/C. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Savio House 325 King Street Denver Co 80219 USA INSURER A: Philadelphia Indemnity Insurance company 18058 INSURERS: Plnnacol Assurance Company 41190 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570066353943 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY POLICY EXP .IMM/DDNYYY) LIMITS A X COMMERCIAL GENERALUABILITY PHPK1645648 05/01/2011 05/01/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE 1O RENTED PREMISES (Ea occurrence) $100,000 X Sexual Molestation coverage applies MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY JERO. CT LOC PRODUCTS - COMP/OP AGG $3,000,000 OTHER: A AUTOMOBILE LIABILITY PHPK1645648 05/01/2017 05/01/2018 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY ( Per person) OWNED S SCHEDULED AUTOS BODILY INJURY (Per accident) A AUTOS ONLY HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) X Coll Ded: $1.000 X Comp Ded: $500 A X UMBRELLAUAB X OCCUR PHUB581785 05/01/2017 05/01/2018 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 DED I X'RETENTION $I0 000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 984642 05/01/2017 05/01/2018 X PER STATUTE OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE YIN N N I A E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A Misc Liab cvg PHPK1645648 05/01/2017 05/01/2018 Prof each Occ. Aggregate $1,000,000 $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) State of colorado Division of youth corrections and weld Adolescent Resources, Inc. are included as Additional Insured in accordance with the policy provisions of the General Liability policy and Professional Liability Policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE weld Adolescent Resources, Inc. 1750 25th Avenue, Suite 305 Greeley CO 80634 USA POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t.JeR §kbe✓pldktte r�iivisi We✓nu ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : AGENCY CUSTOMER ID: 10587081 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Insurance Services West, Inc. NAMED INSURED savio House POLICY NUMBER See Certificate Number: 570066353943 CARRIER See Certificate Number: 570066353943 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVU POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/VYYY) LIMITS OTHER A EPL - Primary PHSD1240991 Claims Made SIR applies per policy terms 05/01/2017 & conditions 05/01/2018 Aggregate Limit $10,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SAVIO HOUSE This Agreement, made and entered into th day ofl U, 2018by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and Savio House, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services funding to the Department for Aftercare Services, Functional Family Therapy, Home -Based Intensive Services, Kinship Services, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment (Sexual Abuse Intervention). NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2017. upon proper execution of this Agreement and shall expire fvlav 31. 2018, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. Ct. tom- .kitsD 2018-0465 c. Contractor agrees to submit an itemized complete billing statement by the 7`h of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. 2 b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et seq. and its implementation regulations, 45 C.F.R. Part 91; and Title VII of the Civil Rights Act of 1964; and the Age Discrimination in Employment Act of 1967; and the Equal Pay Act of 1963; and the Education Amendments of 1972; and Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. 3 - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractor>. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals. - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8 17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional 4 has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/Contract Professionals must secure, at or before the 5 time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non- payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows. $1,000,000 each occurrence. $2,000,000 general aggregate. $50,000 any one fire, and $500,000 errors and omissions. iii.Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required. Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by County. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows: County of Weld 1150 'O' Street Greeley, Colorado 80631 f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub - vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 7 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows. 8 - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator Julia Roguski, Associate Executive Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Norma Aguilar -Dave, Executive Director 325 King Street Denver, CO 80219 (303) 225-4040 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other 9 reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member ofCongress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records 10 Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment 11 insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters. (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A, and provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31 Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, 12 shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or 13 Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 14 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ddet,Wc .do;ok Weld County Clerk to the Board By: Deputy Clerk to the Board 15 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair FEB 12 2018 CONTRACTOR: Savio House 325 King Street Denver, Colorado 80219 (303) 225,4Q40 By: Date: Nor Aguilar -Dale, Executive Director .9OI$-09Co5 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL REQUEST FOR BIDS AND PROPOSALS WELD COUNTY, COLORADO 1150 O STREET GREELEY, E LEY, CO 80634 DATE: April 3, 2017 BID NUMBER: B1700080 DESCRIPTION: Annual Request for Various Services DEPARTMENT: Human Services MANDATORY PRE -BID CONFERENCE DATE: N/A BID OPENING DATE: APRIL 24, 2017 PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO THIS REQUEST FOR BID FOLLOW PAGE 9. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS ENGLISH AND BILINGUAL(ENGLISH/SPANISH) SERVICES (SERVICE AREAS INCLUDED IN THIS PROPOSAL INCLUDE, BUT ARE NOT LIMITED TO THE BELOW LIST. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVE SERVICES.) Afterca re Services Anger Management/Domestic Violence Definition Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out- of -home placement of the child. Diagnostic and/or therapeutic services to assist in the development of the family services plan, to assess and/or improve familycommunication, functioning and relationships, and to prevent further domesticviolence. Program Area Definition Crisis Stabilization Intervention and Services Services families, *crisis, *A (recent) individual family "crisis" that youth 24 in to hours is nature, and/or resolve further provide and a family, the children, day, which an defined crisis seven immediate, breaks and through in (7) as results days a down situation in- a the in normal the person/in- week. or normal inability coping circumstance, home functioning of behaviors, the response usually individual of orwithout an to acute and/or Day Treatment Comprehensive, and therapy to children highly structured and theirfamilies. services that provide education to children Foster ParentConsultation Services County quality children of provided care and being to foster youth provided. in and their group homes home families to enhance caring and improve for Weld the Foster ParentTraining Core training for new Weld County foster parents. Functional Family Therapy Intensive relational acting out, family dysfunction and -based substance treatment known abuse to that be among determinants addresses youth the 10-18 of conduct pervasive years disorder, old. patterns. of violent Home -Based Intervention 1 Services services services family. *Crisis counseling. Intervention provided which and *crisis can primarily include intervention is defined therapeutic in the as directed 24/7 home services, phone of to the client meet access concrete the and that needs in include services, -home of the a variety collateral child and of Kinship (Therapeutic) Services Kinship specific to to maintained of -home a a child child services to placement placed placed a child in the in in in the placed lowest a a is areas kinship kinship necessary. in level a of kinship home, home. (1) of consultation care and Children home, and (3) (2) critical least placed and corrective restrictive kinship care in kinship consultation consultation setting parent care support are when specific specific out - Life Skills resources, Visitation home that (both teach parenting in -home household techniques and in -office) management, and family and services effective conflict provided accessto management. primarily community in the Mediation/Intensive Therapy Family familycommunication, Therapeutic intervention typically functioning with and all relationships. family members to improve Program Area Definition Mental Health Services Diagnostic family functioning services and/or and plan, relationships. therapeutic to assess services and/or to improve assist family in the development communication, of Multi-systemicTherapy Intensive positive relations) adolescents changes family- that who and in contribute are the community at various risk to the for -based social serious out -of systems -home treatment antisocial (home, placement. program behaviors school, designed community, of children to make and peer RelinquishmentCounseling Relinquishment children. counseling for parents considering relinquishment of their Substance Services Abuse Treatment functioning Diagnostic Family alcohol. Service and/or and Plan relationships, therapeutic (FSP), to services assess and and/or to prevent to assist improve in further the development family abuse communication, of drugs of or the Other Creative youth prevention and and families or unique traditional services interacting designed case. with the to Child meet the Welfare needs system of children, through a B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Thereby waive my right to a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. Hand Delivery. Hand -delivered bids should be submitted in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "I hereby waive my right to a sealed bid". Hand - delivered bids can be dropped off at: Weld County Department of Human Services, Attn: Tobi Vegter, Financial Unit, 822 7th Street, Suite 150, Greeley, CO 80631. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgov.com if you have any questions. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described above). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III.INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 4 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5- 101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. Except where exempted by federal law and except as provided in C.R.S. 24-76.5- 103(3), if Contractor receives federal or state funds under this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age orolder is lawfully present in the United States pursuant to C.R.S. 24-76.5-103(4) if such individual applies for public benefits provided under this Contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. 24-76.5-103 prior to the effective date of a Contract. M.AlI goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 5 O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV.GENERAL SPECIFICATIONS A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24- 10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by 6 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. V. Insurance Requirements i. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant tothis request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: 7 • $1,000,000 each occurrence; • $2,000,000 general aggregate; • $50,000 any one fire; and • $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: • If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; • Unlimited defense costs in excess of policy limits; • Contractual liability covering the indemnification provisions of this Agreement; • A severability of interests provision; • Waiver of exclusion for lawsuits by one insured against another; • A provision that coverage is primary; and • A provision that coverage is non-contributory with other coverage or self- insurance provided by County. (e). For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. iii. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, subcontractors, independent contractors, sub- vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. 8 Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. VI.Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. CONFIDENTIAL INFORMATION Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staffand/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Contract Period and Pricing: 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the following: • Qualifications, appropriate licensure, and experience. • Cost structure. • Relationships and collaboration. • Organizational experience and past performance. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. EXHIBIT A SAMPLE AGREEMENT CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND This Agreement, made and entered into the _ day of , 2015, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department' and «Contractor», hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Reuquest for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided funding to the Department for NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on , upon proper execution of this Agreement and shall expire , unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. 1 d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services , and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of 2 Colorado per the directions on the form. Failure to complete and submit this form in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and the Education Amendments of 1972; and Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. 3 b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is Core Services. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contract Professional shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contract Professional shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contract Professional shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contract Professional shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, 4 1 and shall comply with all of the other requirements of the State of Colorado program. If Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contract Professional receives federal or state funds under the contract, Contract Professional must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contract Professional operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors/Contract Professionals must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of 5 the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non- payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, in the amount of the deductible or self - insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor/Contract Professional. Contractor/Contract Professional shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii. Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. iii. Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv. Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by County. v. For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to County, whichever is earlier. c. Contractors/Contract Professionals shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, subcontractors, independent contractors, sub - vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor/Contract Professional. Contractor/Contract Professional shall include all such subcontractors, independent contractors, sub -vendors suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training 7 Contractor may be required to attend training that the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-352-1551, x6503, and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 8 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Administrator CONTRACTOR, TITLE 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970) 352-1551 18. Litigation For Contractor: Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 18. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of 9 any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 10 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contract Professional agrees that it is an independent Contract Professional and that Contract Professional's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law (and as set forth in Exhibit provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in 11 Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contract Professional's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 12 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 13 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Weld County Clerk to the Board WELD COUNTY, COLORADO BY: Deputy Clerk to the Board , Chair APPROVED AS TO FUNDING: APPROVED AS TO SUBSTANCE: Controller Elected Official or Department Head APPROVED AS TO FORM: Director of General Services County Attorney CONTRACTOR Contractor, Title 14 Savio TRUSTEES Ronald K. Abe President Robert J. McCormick Vice President Charles E. Anderson Secretary Troy R. Dumlao Treasurer William D. Adams Stuart C. Haskins Vonnie Hergett Dianne M. Pape LEGAL COUNSEL AND ASSISTANT SECRETARY Lance G. Eberhart EXECUTIVE DIRECTOR Norma Aguilar -Dave A nom preft dgaAlatIO.l of Ule litre pub el Denver Serving (blidren. adolescents and families. EXHIBIT B CONTRACTOSII CII"ening families since 1966 April 20, 2017 Weld County Department of Human Services Tobi Vegter, Core and Service Contract Coordinator Service Utilization Unit Weld County DNS 315 A N. 11th Avenue Greeley, CO 80632 Dear Qualifications Review Committee: Thank you for the opportunity to submit the attached response to the Request for Core Services (Bid#: 81700080). Savio has proudly served families throughout Colorado's Front Range since 1966. Savio's mission is to eliminate violence, crime, drug and alcohol abuse, child abuse and neglect, and other destructive behaviors in families through care, support and education. Savio is a leader in providing evidenced -based and promising programs and a leader among our peers in tracking and reporting case and program outcomes. Savio values partnerships and brings a business model of teamwork and customer service to every contracting relationship. Savio has four offices throughout the Front Range. Savio's main office located in Central Denver and the Longmont office provide access to families throughout Weld County; with easy access to the southern border of the county. Savio's evaluation of outcomes, focus on goal -oriented treatment and service philosophy that values appropriate levels of intervention makes Savio a solid candidate to provide services to Child Welfare families. Thank you again for the opportunity to respond to this request for proposals. Respectfully Submitte No Aguilar-Dav:, CSW, CACIII Executive Director Savio - Main Office 325 King Street • Denver, CO 80219 • 303-225-4100 • fax 303-225-4101 Savio of Northern Colorado • Savio of Colorado Springs • Savio Downtown Savio of Canon City • Savio Contracted Casework Services TTy: 711 or 800-659-2656 C0A: �w� PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services Savio House 48170 AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER ID (If Knownl Norma Aguilar -Dave Executive Director PRIMARY CONTACT— FULL NAME PRIMARY CONTACT - TITLE (303 ) 225.4040 i 303 ) 935.1001 PHONE NUMBER EXT. FAX NUMBER naguilar-dave@savihouse.org www.saviohouse.org PRIMARY CONTACT - E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS (IF A PPU CABLE) 325 King Street AGENCY MAILING ADDRESS Julia Roguski Denver 80219 C rTY Associate Executive Director ZIP REFEERAL CONTACT- FULL NAME (IF DIFFERENT THAN PRIMARY CONTACT) REFERRAL CONTACT -TITLE (303 1225.4200 REFERRAL CONTACT - PHONE NUMBER EXT. jroguski@saviohouse.org REFERRAL CONTACT- E-MAIL ADDRESS I certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all a s where the bids re competitive in price and quality. Signature of Authorized �R9pre;�entative: T Date of Signature: /`f!//7' Savio Submission Bid Number: B1700080 General Requirements 1. Provider Information Form (PIF) 2. Identification of Languages and proficiency level, is applying to provide bilingual (English/Spanish) services • Agree to proficiency testing Savio maintains Spanish speaking capacity in all of its program areas. Savio agrees to have staff participate in proficiency testing as deemed necessary by the County. 3. Savio is submitting Scopes of Service for the following program areas: • Aftercare Services • Functional Family Therapy • Home Based Intervention • Kinship Services • Life Skills • Mental Health Services • Multi -systemic Therapy • Substance Abuse Treatment Services • Sexual Abuse Treatment 4. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. In accordance with State Regulations, Savio requires every staff member to be registered with the Department of Regulatory Agencies (DORA). Copies of individual registrations are available upon request. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. Each Scope of Service includes a list of current staff working in the program. Weld County Department of Human Services RFP Number B 1700080 Savio General Requirements Page 1 of 3 5. Internal Referral acceptance and assignment protocol, including communication with the referring agency. All referrals from Weld County are received via email to Savio's program Coordinators and Associate Executive Director. Once received, the Coordinator over the specific program area will acknowledge the referral internally by sending an email stating that they are working on the referral. The family is contacted immediately (within 48 hours of receipt of referral) to schedule an intake. No referrals will be rejected, but initial impressions will be clearly communicated to the referral source as to the appropriateness of the family for services and, if necessary, other services will be recommended. Savio will maintain regular phone and/or email communication with the assigned caseworker to update on progress. Savio has a customized software program that tracks every referral status. If there is a question about a referral, any Savio Coordinator or supervisor can look up the status. Families are assigned to staff based on family need and staff expertise with an emphasis on matching culture whenever possible. The assigned Savio staff communicates weekly with the County caseworker to provide updates on progress. Savio will immediately notify the caseworker of significant events such as missed appointments. 6. Familiarity with Trauma Informed Care. Copies of applicable training certificates, or proof of registration for training for all staff member who manage and/or administer services under this proposal. Savio also ensures that all services and families are viewed through a trauma informed lens. Safety concerns and challenging behaviors are understood within the context of the individual and family trauma history. Recognizing the relationship between problematic behaviors and trauma allows Savio to customize services to address the trauma related behaviors that often are drivers behind placement instability and a lack of permanency for children and youth. This results in increased positive outcomes for infants, children, youth and families. Savio also utilizes SafeCare for children age 0-5 and their caregivers. This model has been shown to mitigate safety concerns, improve child well-being by reducing risk, and increasing caregiver protective capacity. Within adolescent programs, in addition to utilizing trauma informed care, strong emphasis is placed on both individual safety for the youth and family as well as community safety. All programs support the family in building skills related to accountability and safety planning as well as development of plans with caregivers on how to handle unsafe behaviors. Trauma informed parenting instruction for kin providers is provided in home and is focused on each family's and child's unique needs 7. Demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. Savio is a well -established organization with the infrastructure and staffing available to respond promptly to referrals. Savio will respond to referrals within business 24 hours of receipt and communicate with referring caseworker if there is a waiting list for services. In the event of a waiting list, Savio will work with the caseworker to determine if the family can wait for services to begin. Communication with the caseworker will continue a regular basis until the case is entered or a referred to another service. The goal is to provide services to families as promptly as possible. Weld County Department of Human Services RFP Number B 1700080 Savio General Requirements Page 2 of 3 8. Agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. Outcomes are tracked on case and program levels. Savio has a computerized client tracking system that can instantly produce aggregate outcome data. Case progress is managed and tracked through monthly Treatment Support Meetings (staffings) that include the family, case worker, Savio worker and supervisor. This process insures families receive targeted, time limited services. Savio services focus on family strengths, prevent out -of -home placement, successfully reunify children back into the home or community, unite children with their permanent family and provide services that protect children. Objectives are defined for programs and specific cases. Savio works with DHS to define and measure adherence to these goals and objectives through the QA Committee and monthly staffings with families. These processes help keep the program and case focused and act as a mechanism to manage length of stay. The Quality Assurance Committee defines and evaluates program success. The final determination of case outcome (successful or unsuccessful) is determined jointly by the DHS caseworker and Savio supervisor. DHS caseworkers are asked to sign off on the case outcome either on a written form or verbally over the phone. Child Protection HB Services defines success as children at home, with kin or in a permanent placement. Adolescent services defines success as the youth living in the community with family or kin and receiving a lower level of care (not in out of home placement), and having successfully completed the majority of their treatment goals. Outcomes for all programs are tracked one year after services end to ensure the families sustain the progress made in treatment. 9. Agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Savio agrees to enter into a contract (exhibit A) with the Weld County Department of Human Services and comply with all requirements of such contract. 10. Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this request for Bid. Attached as a separate document. Weld County Department of Human Services RFP Number B 1700080 Savio General Requirements Page 3 of 3 Savio Aftercare Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. The goals of the Savio Aftercare program are to successfully transition children, age birth to 21 years from out -of -home placement back into their home, eliminate child abuse and neglect by building protective capacity, provide comprehensive treatment services, involve extended family/kin members, and develop support resources for long term family stabilization. Savio brings an expertise in understanding and managing safety. This is particularly vital during the high -risk time of reunification. Many families and children experience ambivalence just prior to reunification. Savio has the expertise to identify, normalize and help the family manage these concerns. Savio will help develop solid aftercare plans that lead to safety management and long term success and low recidivism. This expertise sets Savio apart from other providers. Savio utilizes a best practice model that is strengths -based and family friendly. The strategy is based on Cognitive Behavioral Therapy, Strategic and Structural Family Therapy, Solution Focused Brief Therapy and Signs of Safety. Families are taught concrete behavioral skills and are given responsibility for implementing them. Staff are accountable for engaging the family. This model is a broadly based, social work intervention that offers a comprehensive array of services which include and extend beyond traditional therapeutic interventions: individual and family counseling; role modeling; educational assistance and support; parenting skills instruction; family group conferencing; team decision making; home structuring; child safety monitoring; pro -social skill building; use of community resources for assistance; transition planning; and 24 -hour crisis intervention. This model is characterized by a concern for all aspects of a family's functioning. Not only do staff address therapeutic issues, they also assist the family in meeting basic needs of education, budgeting, food assistance, housing, furnishings, household maintenance, personal hygiene, clothing, employment, medical and dental services, and secondary needs such as communication, decision -making, and parenting skills. Savio is guided by the philosophy that most families experiencing problems in the areas of school, child abuse and neglect, mental health, domestic violence, substance abuse, or other areas of dysfunction that results in the out -of -home placement of children are more likely to exhibit sustained behavioral changes by receiving in -home family -focused therapeutic services. Services are delivered in the community. The Savio worker spends a minimum of 6.5 hours per week on each individual case. Savio staff assist the family in identifying local resources. Families are taught to effectively use outside agencies during the service period and as part of the aftercare plan. Connecting families to their communities is a critical component of the Savio program. Weld County Department of Human Services RFP Number B 1700080 Savio Submission for Aftercare Service Page 1 of 4 Savio provides 24 -hour emergency support to families involved in the Aftercare program through a cell phone. Staff will first work to stabilize the situation over the phone and will respond in person if needed. The goal is to prevent further escalation and ultimately teach families skills to reduce conflict for long term sustainability. 2. Target population including age range, specific population characteristics, area of service, etc. Target Population Families with children and youth age birth to 18 years of age placed in foster or kinship care who are ready to begin reunification. Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out- of -home placement of the child. Specific Population Characteristics Reunification should be imminent, within the next two to four weeks. Area of Service Savio is able to offer Aftercare services throughout Weld County, including the southern region of the county. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Aftercare services may be reimbursable by Medicaid depending of the needs of the family. Savio is a Medicaid provider and will explore the ability to bill Medicaid on a case by case basis. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Fee for Service $1155.50/month — partial months prorated 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in Weld County Department of Human Services RFP Number B1700080 Savio Submission for Aftercare Service Page 2 of 4 the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Amy Beery Shawna Bernath Kristina Carstensen Kain Karla Castillo Anastasia Colangelo Kathryn Dunn Jessica Dyrud Kristin Foslid Brynna Hetrick — DORA in process Dana Johnson Megan Kearsley Jared Kellerman Theodore Lemann Sarah Mog Dana Nielsen Angelica Onofrio Carson Pennypacker Yvette Perez Mallory Pope Shelene Richards Julia Roguski Desiree Rushmer Rodrigues Emily Schleich Ambrosia Shepard Brittany Singha Jordania Smallwood Nikkita Stonner Elizabeth Sweeney -Miller Brittany Wade Britton Whitelaw Bethany Humphrey Katy Hughes Kurt Post Micah Romero Raylah Pouw Weld County Department of Human Services RFP Number B 1700080 Savio Submission for Aftercare Service Page 3 of 4 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credentials # years as a supervisor Frequency Supervision individual supervision) and (Includes and duration both group of Staff Supervisor Ratio to Aftercare Dana Johnson LPC, LAC 8 years 2 hrs weekly 1:8 Aftercare Megan Kearsley LPCC 6 months 2 hrs weekly 1 :7 Aftercare Kristina Kain LPCC 4 months 2 hrs weekly 1:6 Aftercare Raylah Pouw LCSW 1 year 2 hrs weekly 1:4 Weld County Department of Human Services RFP Number B 1700080 Savio Submission for Aftercare Service Page 4 of 4 Savio Functional Family Therapy Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. Functional Family Therapy (FFT) is a short-term, well -documented program which has been successfully applied to a wide range of problem youth and their families. The program involves specific phases and techniques designed to engage and motivate the youth and family to deal with the negative affect that prevents change. Later phases then work to improve communication, interactions and problem -solving patterns between the youth and family, and assist families to better access and utilize outside system resources. FFT is designed to rapidly engage family members and provide insights, training, and skills development so that families can confidently and appropriately manage problem adolescent behaviors without further juvenile justice system involvement. As an effective intervention program for families, FFT is flexibly structured and culturally sensitive. Savio began its Functional Family Therapy (FFT) program in September 2004 and completed the process of becoming a fully certified site through FFT, LLC in 2005. The FFT model has been evaluated many times beginning in 1971. The model's effectiveness has been independently demonstrated with a between -groups design, and its impact asserted at additional performance sites. FFT has demonstrated a significant reduction in recidivism when compared to alternative treatments and no treatment conditions. Overall program goals for FFT are to: • Reduce recidivism rates; • Reduce the number of youth being adjudicated or convicted of new legal violations; and • Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. The FFT program draws on a multisystemic perspective in its family -based intervention and prevention efforts. It is a family therapy model that works with the family to: • Improve family relationships and communication skills; • Assist families in adopting positive solutions to problematic areas; • Develop positive parenting skills; • Strengthen and preserve the family unit. Although originally designed to treat middle-class families with delinquent and pre -delinquent youth, the program later included poor, multi -ethnic, multi -cultural populations with very serious problems such as conduct disorder, adolescent drug abuse and violence. Excellent outcomes have been documented across all populations served. Weld County Department of Human Services RFP Number B 1700080 Savio FFT Scope of Service Page 1 of 5 Every family involved with the FFT program completes various assessments throughout treatment in order to evaluate risk and protective factors. Upon entering the program every family completes an Outcome Questionnaire. In addition, the identified client and caregivers complete a Youth Outcome Questionnaire. All assessments are evaluating: • Intrapersonal distress (the amount of emotional distress in the adolescent); • Somatic (indicates change in physical complaints by the adolescent); • Interpersonal Relations (relationships with parents, other adults and peers); • Social Problems (problems that are socially related including aggression and delinquency); • Behavioral Dysfunction (inattention, hyperactivity, impulsivity, concentration, ability to organize tasks and ability to handle frustration); • Critical Items (paranoia, obsessive -compulsive behaviors, hallucinations, delusions, suicide, mania and eating disorders). Serious attention is given to a high score on any single item in this category. These assessments are commonly given at the first and last sessions and then are evaluated for statistical and clinical significance for change after FFT is completed. There are also outcome reports that the family and therapist will complete after treatment that measures the perception of change for all involved parties. Throughout treatment the FFT Therapist is administering the Counseling Process Questionnaire. This tool assists the therapist in guiding the family through the FFT phases and ensuring adherence to and competency in the model. Phases of treatment The three phases of FFT (Engagement/Motivation, Behavior Change, and Generalization) are based on understanding families in a broad context, and understanding client problems systemically. Each phase has distinct goals and objectives, addresses different risk and protective factors, and calls for particular skills from the therapist. Engagement/Motivation Phase (Phase I) The Engagement/Motivation phase has four primary goals: • Building an alliance between the therapist and each family member and between all family members; • Reducing negativity and blame; • Developing a shared family perception of the presenting problems; and • Building hope and an expectation for change. During this phase, the therapist is using specific therapeutic techniques and assessments to meet these goals. The two main techniques used by the therapist are "reframing" and "theme development". The therapist uses these skills to address the identified problem with the adolescent and to clarify how the youth's problem is being sustained within the family's relationships. Reframing or reattribution may take three directions. The first is changing the meaning of a behavior, emotion or event. The therapist works with the family to change a negative and blaming description of a behavior, emotion or event into one that is more positive. Secondly, reframing will challenge the family by suggesting hope and focusing on a potential for Weld County Department of Human Services RFP Number B 1700080 Savio FFT Scope of Service Page 2 of 5 change. Finally, the therapist can direct reframing at linking family members together to create a more family -focused perspective of the behavior, emotion or event. The second technique used in this phase is developing a family theme that describes problematic patterns of behaviors and/or relationships in a way that suggests they may be motivated by positive (though misguided) intent. The themes that are developed by the therapist and family aim to utilize a non -blaming, alternative explanation for "bad" behavior. For example, if the youth uses drugs, the therapist and family strive to view that behavior as a response to relationship difficulties within the family. In general, themes provide new "explanations" of problematic and painful behavior patterns that provide hope for the future and give family members a reason to stick with the difficult change process. Reframing and theme development are ongoing processes throughout the engagement/ motivation phase. A therapist knows that they have completed this phase and can move into the next phase when family members accept that while each family member has a different and unique contribution to the family's primary concerns, they also all share in the emotional struggle that is occurring. Another sign of phase completion is when the family believes that the therapist has an understanding of their position and the ability to help. When the family is hopeful that a solution is possible and feel motivated to take the responsibility to try new behaviors and techniques in search of solutions, the therapist directs the family to the Behavior Change phase of treatment. Behavior Change Phase (Phase II) During this phase, the FFT Therapist develops and implements intermediate and long-term behavior change plans that are culturally appropriate, context sensitive, and tailored to the unique needs and characteristics of each family member. The Behavior Change phase has three primary goals: • Help families develop competencies that may facilitate changes in family risk patterns; • Identify targets of change; and • Identify "pathways" of change that fit the family. By the time the family reaches the Behavior Change phase, the therapist has already assessed and identified risk and protective factors to be targeted for change. The FFT Therapist uses clinical observation, pre -assessment instruments, and the relational functions of the family to make this determination and develop interventions. The Therapist develops and individualizes a change plan for the family. The plans are based on the family "themes" identified during the Engagement/Motivation phase, so the family has a continued understanding of the rationale behind the changes. Typically there are four aspects of behavior change: positive communication, positive parenting, successful problem solving, and conflict management. Change plans are written using small, obtainable goals that will help the family function in more adaptive, acceptable and productive ways. Generalization Phase (Phase III) Generalization Phase goals include the following: Weld County Department of Human Services RFP Number B 1700080 Savio FFT Scope of Service Page 3 of 5 • Generalize the changes made in the Behavior Change phase to other areas of the family relational system; • Maintain changes made through focused and specific relapse prevention plans; • Support and extend the changes made by the family by incorporating relevant community resources into treatment. During the Generalization phase, the therapist focuses on working with the family on how they will use what they learned in the Behavior Change phase to respond to similar struggles within the family and systems around them in the future. The FFT Therapist will work with the family to maintain the changes and normalize the ups and downs of change. In addition, the FFT Therapist will teach the family to identify community resources for their family that will continue to maintain the changes made. 2. Target population including age range, specific population characteristics, area of service, etc. Functional Family Therapy (FFT) targets youth between the ages of 11 and 18 and includes treatment to the siblings of the referred adolescent when appropriate. FFT is a short-term intervention with an average of 8 to 12 sessions for mild cases and up to 30 hours of direct service for more difficult cases. In most cases, sessions are spread over a three month period. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Savio is a Medicaid approved FFT provider. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Fee for Service $1,000/month partial months prorated 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Nicole DeHerrera Matt Johnson Kelly Morris Weld County Department of Human Services RFP Number B 1700080 Savio FFT Scope of Service Page 4 of 5 Breanna VanDerMost Pema White Kristi Edwards 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credentials # years a supervisor as Frequency Supervision individual and duration (Includes and group supervision) both of Staff Supervisor Ratio to FFT Nicole DeHerrera LPC 4 years 1 supervision group consultation hour weekly 1 supervision individual hour weekly and 1 7 supervisor therapists to Weld County Department of Human Services RFP Number B 1700080 Savio FFT Scope of Service Page 5of5 Savio Home Based Services Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. HB Child Protection Overview of Service Savio's Home Based Child Protection services are designed to build protective capacity within the family system to eliminate future incidents of child abuse and/or neglect. Key Concepts • Team Decision Making (TDM) - Family Group Conferences — Involvement of extended family and kin is a philosophical basis of the program, family ties are strengthened or re- established from the beginning of the program; formal family group conferences and/or TDM's are also held with the support of DHS; • Treatment Support Meetings — This family centered, strength -based monthly staffing process includes parents, extended family, Savio staff and supervisor, DHS caseworker, GAL, and other involved professionals. These meetings are anchored by Signs of Safety Mapping and the Colorado Assessment Continuum, and focus on protective concerns that need to be resolved to eliminate the need for child welfare involvement. A WorkPlan is established with the team outlining specific goals to be accomplished, action steps, strengths, and time frames for completion. • Parenting Skills Development — Families receive both group and individual instruction with an emphasis on alternatives to physical discipline, household management, consistent delivery of rules, consequences and rewards, knowledge of developmental milestones and nutrition. Objectives • Strengthen the family unit with in -home, family dictated services; • Reduce child abuse/neglect by increasing protective capacity of caregivers, eliminating safety concerns and reducing risk factors; • Establish permanency for children within reasonable and mandated time frames; and, • Provide 24 -hour crisis intervention services by Savio staff Service Goals Upon graduation, the parents will possess the skills necessary to: • Maintain their children in their home; • Eliminate the need for Child Welfare and/or Juvenile Court involvement; • No longer abuse or neglect their children; and, Weld County Department of Human Services RFP Number B1700080 Savio Home Based Services Scope Service Page 1 of 10 • Improve overall family functioning. Safety of children is a key goal of Savio services. Staff are trained in identifying safety concerns and developing and monitoring safety plans. Savio staff participate in TDM Meetings where safety is discussed and plans are developed. The Savio Child Protection staff are given specialized training in identifying safety concerns in families with young children. Staff utilize the Colorado Safety Assessment and Plan and use the results of this tool to inform practice and develop interventions with families. Management of risk factors for young children and youth is essential to protecting children. Savio has expertise in risk identification and management. The Child Protection Division utilizes the Risk Assessment and Re -Assessment to identify specific risk factors and help the family develop concrete plans for managing those risks in the future. By paying specific attention to risk management, recidivism is greatly reduced. In addition to formalized safety and risk management through the use of the Colorado Assessment Continuum, Savio utilizes the Signs of Safety approach with families. Signs of Safety is a solution -focused brief therapy approach that builds partnerships with parents when there is suspected or substantiated child abuse and neglect. This strengths -based, family -centered style enlists parents as partners, and the focus is on developing protective capacities through identifying what is or needs to be occurring in the family system to create safety for children. HB Child Protection with Embedded Evidence Based Service Savio has worked to embed several evidence -based practices into the Home Based Programs to provide comprehensive services to families. Based on family need, Savio is able to provide SafeCare, an evidence -based parenting skills training program, Trauma Focused Cognitive Behavioral Therapy (TF CBT) and/or Alternatives to Families: A Cognitive Behavioral Therapy as part of the Home Based offering. SafeCare would only be offered through Core services if the family was court involved with an active Dependency and Neglect case. Non -court involved families would be served by the SafeCare prevention provider. By embedding these evidence -based programs into the service package on an as needed basis, families are able to have their treatment needs met by one provider. These interventions will count for approximately one and a half to two hours per week. The additional time will allow for targeted interventions to support and strengthen the therapeutic work and/or provide concrete services and supports to families based on need. The Department caseworker and family will help define the needs and combination of services necessary to most successfully build protective capacity and promote successful reunification. HB CBS Services- Adolescent Overview of Service The goal of the Savio Community Based Services (CBS) program is to successfully reintegrate youth back into the community with transitional services that prevent recidivism, stress Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 2 of 10 responsibility and prepare the youth for a pro -social lifestyle. This goal is achieved through individualized services, client supervision, family involvement and community collaboration. The Savio CBS program uses a client -centered, humanistic approach which focuses on starting on the client's level and working on the areas where they perceive help is needed. Counseling, family supervision and all other interventions are administered in the home, school and other organizations with which the youth is involved. The key elements of community based treatment are service integration, case and system management, early identification and intervention, advocacy, skill building and sensitivity to individual differences. Emancipating youth are often missing necessary documentation (birth certificate, social security card and Colorado identification card) and do not have adequate clothing and skills to interview for and obtain employment. Families may be lacking the physical space or furniture, financial resources or parenting skills for the return of their youth to the home. This array of obstacles is taken into account as the CBS Worker, the client and their family develop plans to assist the youth in the community. The CBS service is adaptable and can be tailored to meet the needs of families of adolescents who might not be amenable to other therapeutic services. In addition to supporting the youth, the CBS worker can work with families to create interventions that support and maintain the transition of youth to the homes following placement. In developing interventions the Savio CBS Worker considers criminogenic factors such as anti- social attitudes, anti -social peers found in the neighborhoods in which the youth must live or return to live, substance abuse, lack of empathy and impulsive behavior. These factors may interfere with the ability of the youth to succeed in the community. Barriers to success may also include a school that is hesitant to accept the youth; apartment managers not wanting to rent to youth under eighteen or those with no employment or rental history; and employers unwilling to hire previous criminal offenders. The Savio CBS program includes the following services: Skill Building for Youth The CBS Worker provides individual counseling to youth as a means of maintaining the therapeutic relationship and teaching and modeling pro -social attitudes and values. Skills are demonstrated to the clients who are then given the opportunity to practice and role play new skills. The sessions incorporate principles of Cognitive Behavioral Therapy and Aggression Replacement Therapy to address those issues which are pertinent to emancipating youth. Community support systems will be developed for continuing positive reinforcement after discharge from Savio. These youth need assistance in dealing with the pressures of living independently. Individual counseling aims to assist the youth in becoming self-sufficient and being able to communicate effectively following Savio involvement. Although the youth is not returning home, the CBS Worker helps to mend and build family relationships and promote family Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 3 of 10 involvement and monitoring. As in the case of non -delinquent youth who are attempting to live on their own for the first time, this ongoing support of the youth can be critical to their success. Acknowledging that actions speak louder than words, the CBS Worker attempts to model the very behaviors and attitudes that are considered necessary for pro -social functioning. Within a therapeutic relationship, youth often mimic the actions of those whom they respect and trust. As the youth practice more appropriate behaviors, they tend to internalize the changes. With positive reinforcement, it is hoped that the modifications will become a permanent part ofthe client's means of functioning and relating with others. All services provided by Savio CBS are relationship -based, which opens the youth to being receptive to new concepts. For example, Savio's strengths -based approach which acknowledges and builds upon the youth's strengths, stimulates the development of relationships. Savio assigns staff to clients based upon compatible personal traits. Relationships are developed through skills practice and role modeling which assist the youth in developing and practicing pro -social values. All services are delivered in a non judgmental manner, with the philosophy that mistakes, such as the loss of a job or apartment, are a necessary and natural part of the learning process. Savio staff help youth through this stressful and new time in their lives and teach healthy coping skills to deal with such stressors. Finding and Securing Housing Identifying and securing housing is a necessary skill for emancipating youth. The first step entails the identification of neighborhoods that are acceptable for the youth and those that are not, based on the following factors: • Gang or other negative issues of the emancipating youth; Accessibility to bus routes; • Proximity to job opportunities; • Presence of community and support services (grocery stores, banks, post office, etc.); and Availability of appropriate recreational activities. Staff provide transportation to apply for suitable apartments and assist with the application process by ensuring completion of paperwork and payment of application fees. Once approved, the youth is aided in understanding and signing the lease, paying the deposit and initial rent, arranging a move -in date, obtaining keys and setting up installation of telephone service and other utilities. The deposit and rent may be funded in several ways. The youth may finance the apartment through money saved, parental assistance, or funding from government programs. Furnishings and household items are donated when available. Savio has the youth sign and take responsibility for the lease, which may vary in duration from one to six months. Budgeting and Managing Money Throughout involvement with the program, youth are taught how to establish and maintain a workable budget and to pay bills in a timely manner. The CBS Worker accompanies the youth to Weld County Department of Human Services RFP Number 131700080 Savio Home Based Services Scope Service Page 4 of 10 a neighborhood bank to establish a savings account and explains bank services and expectations. The CBS Worker monitors expenditures and helps the client to adjust the budget as needed by having each youth complete a weekly budget worksheet. If the youth has outstanding restitution, the Worker ensures that a designated portion of each paycheck is applied toward his/her legal obligation. This is done by having the youth arrange a payment plan with the specific agency to which he or she is indebted and begin a schedule of payment. Employment and Vocational Support With the collaboration of the client and the case worker, Savio staff determine employment interests, aptitudes and special training completed. Clients, with the support of the CBS Worker, role play interviewing skills, practice filling out applications and develop a resume. Staff teach the use of the internet and job placement centers to expose the client to a variety of employment resources for present and future use. If there are transportation barriers for the client, the client is transported and accompanied by staff to apply for jobs, attend interviews and complete appropriate follow-up activities such as follow-up phone calls. Once a job has been obtained, the CBS Worker assists the client with arranging a start date, completing initial paperwork (W-4, I-9, etc.) and establishing a work schedule. The Worker facilitates open communication and proactive problem -solving between the client and employer. Lastly, the Worker and client review bus routes and schedules to the job site to eliminate any obstacles to timeliness. During program involvement, the CBS Worker teaches job maintenance skills and assists the parents in monitoring all aspects of the youth's employment including hours worked, attitude and performance, and income earned. Linkage to Community Resources Savio services are community based in that the program is delivered in the community and utilizes neighborhood resources. To prepare for independent living, staff work with the client to identify needs and interests. The client is then taught how to access community resources in order to meet those needs. The CBS Worker transports and accompanies the youth in order to teach the use of community resources and help acclimate the youth to the neighborhood. Clients and the CBS Worker complete a check list as they identify locations of the nearest grocery store, food bank, post office, bank, recreation center and other neighborhood agencies with the intention of the youth using them independently. As an additional resource to clients, CBS staff maintain a comprehensive Resource Manual which describes various community agencies and programs offered. Additionally, and most importantly, the Worker and client identify family supports such as a role model or mentor within the youth's social network who will continue to be involved in the youth's life in the future. If the client is unable to choose a mentor, the Worker may utilize community personnel, such as recreation center staff, a co-worker or supervisor, teacher or counselor to select persons able to fulfill that role. Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 5 of 10 Leisure Time The CBS Worker assesses the client's recreational and social interests and aids in accessing community activities that are positive and age -appropriate. For example, the Worker may accompany the client to the closest recreation center to obtain a membership card and inquire about services and hours. Tickets donated to Savio are passed on to youth to provide an opportunity to attend events that would otherwise be too costly. Clients are assisted in developing a network of positive activities that are close in proximity, inexpensive, and not subject to negative situations such as the presence of gang affiliation or alcohol and drug use. It is expected that the youth will continue to utilize these community resources after Savio involvement. One of the biggest issues facing young emancipators is loneliness and isolation. Assisting them with locating a positive peer group and identifying familial supports are essential to success. In addition, the CBS Worker makes long-range plans with the youth to determine where holidays will be spent and with whom and helps the client problem solve for unexpected changes in plans. A strong support system is needed to assist the youth in feeling connected. Often youth who fail are overwhelmed with responsibilities and loneliness, have no support system to help them, and giving up becomes an option. Savio's program is designed to address these risk factors and increase the likelihood of a successful transition to independent living. Family Support Services can be utilized to support the youth's reintegration into the home after placement. The CBS worker can help create household rules and structure individualized to meet the needs of each family. Educational Support The CBS Worker evaluates the youth's educational needs and interests through a review of educational services and plans, discussions and past records during the pre -placement interview to determine what services are required. If the youth has not yet been enrolled in an educational program, the Worker and youth select an educational or vocational plan, i.e., high school, GED preparation, college, apprenticeship or other vocational program, and assists the youth with enrollment and application for financial aid. The Worker and client identify a contact person to utilize for support during enrollment and beyond. The Worker aids in establishing a schedule of monitoring, ensuring the youth understands the expectations of the education program, and identifying transportation. Throughout Savio involvement the CBS Worker monitors the child's attendance and school performance through regularly scheduled and impromptu checks. The youth is taught study skills and the Worker aids the client in creating a study schedule to ensure that assignments are completed. If the youth is struggling, the Worker may provide tutorial assistance or help the client locate this resource within the school or community. The Worker also teaches the clients how to utilize student centers and school counselors for aftercare. Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 6 of 10 Youth who have been identified as eligible for special education services receive heightened attention to ensure that the youth is enrolled in an appropriate educational setting. The CBS Worker attends education staffings and advocates for the needs of the client, as noted in the Individual Education Plan. The CBS Worker serves as a liaison with school personnel to develop interventions that are supported by all parties. The goal is to bring parties together to work as a team toward positive outcomes for the child in school. Parenting Skills for Teen Parents Clients who are pregnant or have children are provided with parenting skills training and support to teach them to be loving and knowledgeable parents. The CBS Worker intervenes individually with the client and child to address relevant topics and assures that basic parenting skills are evident. Topics include, but are not limited to: Newborn, infant and toddler developmental milestones; Basic needs of children (food and milk, warmth, rest, medical care); Age -appropriate expectations; Effective communication and decision -making; Positive discipline strategies which eliminate the need for physical discipline; and, Providing a nurturing, safe and consistent environment. Staff support the parenting teen through the use of non judgmental discussions, pertinent literature and a referral to Savio's parenting support and education group. The Worker and client identify a family support network so the teen parent does not feel isolated or overwhelmed. In addition, if the need is indicated, the client may participate in a Savio Parenting program either through group participation or an individual curriculum. This program provides opportunity for the client to learn about and practice child development concepts, positive communication skills and stress management. Crisis Intervention The CBS program includes the provision of a twenty -four-hour, seven -day -a -week emergency response service. CBS staff are available at all times to help youth and families in crisis through use of a pager. Crisis intervention may be through telephone contact or may involve the CBS Worker meeting face to face with the client to resolve the problem. Throughout program involvement, clients are taught how to mediate and prevent crises through the development of improved problem -solving skills. 2. Target population including age range, specific population characteristics, area of service, etc. Target Population Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 7 of 10 Home Based Child Protection and Child Protection with Embedded Evidence Based Services Families with children age birth to 12 years of age. Home Based Adolescents Families with youth age 13 and 20 who are emancipating and youth age 13 to 18 and their families who are not amenable to other models of in -home treatment. Specific Population No additional considerations. Location of Service Savio is able to offer Home Based services throughout Weld County, including the southern region of the county. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Home Based services may be reimbursable by Medicaid depending of the needs of the family. Savio is a Medicaid provider and will explore the ability to bill Medicaid on a case by case basis. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Home Based Child Protection Services: $1,600 Home Based Child Protection with Embedded Evidence Based Service: $1,675 Home Based Adolescent Services : $1,814 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Amy Beery Shawna Bernath Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 8 of 10 Kristina Carstensen Kain Karla Castillo Anastasia Colangelo Kathryn Dunn Jessica Dyrud Kristin Foslid Brynna Hetrick — DORA in process Dana Johnson Megan Kearsley Jared Kellerman Theodore Lemann Sarah Mog Dana Nielsen Angelica Onofrio Carson Pennypacker Yvette Perez Mallory Pope Shelene Richards Julia Roguski Desiree Rushmer Rodrigues Emily Schleich Ambrosia Shepard Brittany Singha Jordania Smallwood Nikkita Stonner Elizabeth Sweeney -Miller Brittany Wade Britton Whitelaw Matt Johnson Katy Hughes Breanna VanDerMost Valerie Davis Michael Pantaleo Keelan McFall Janet Shaver Elisabeth Jacquot 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credentials # a superviso r years as Frequency of both supervision) Supervision individual and duration (Includes and group Staff Supervis or to Ratio HB Child Protection Dana Johnson LPC, LAC 8 years 2 hrs weekly 1:8 Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 9of10 HB Child Protection Kristina Kain LPCC 4 months 2 hrs weekly 1:6 HB Child Protection Megan Kearsley LPCC 6 months 2 hrs weekly 1:7 HB Adolescent Elizabeth Doner LPC 2.5 years 2 hours weekly I :7 HB Adolescent Courtney Fiedler LPC, LMFT 6 years 2 hours weekly 1:5 Weld County Department of Human Services RFP Number B 1700080 Savio Home Based Services Scope Service Page 10 of 10 Savio Kinship Services Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. Savio Kinship Services can be used to successfully stabilize kinship placements at risk of disruption. Savio works with the substitute care provider to resolve issues and preserve the placement, preventing the child or youth from starting the unhealthy cycle ofplacement "hopping". Savio began providing family in -home services in the mid 1980's. As an agency we have always looked to the research to guide our intervention strategies. Savio's home -based programs were initially developed based on the Homebuilder's model. In the mid 1990's the Savio Child Protection Division was founded on the principles of Family Group Conferencing (FGC) placing families at the center of problem solving and decision making. Over time services have evolved to include strategies from Solution -Focused Brief Therapy and Signs of Safety. Signs of Safety is an approach that builds partnerships with parents when there is suspected or substantiated child abuse and neglect. This strengths -based, family -centered approach enlists parents as partners, and the focus is on developing protective capacities through identifying what is or needs to be occurring in the family system to create safety for children. Employing these family centered approaches is one way in which services are culturally sensitive and trauma informed. By allowing the family to have an active voice and choice about services, the Treatment Team understands the uniqueness of each family including their culture. By honoring family members as full participants, a more comfortable and trauma sensitive stage is set for families to engage with the Treatment Team. The goal is to not overwhelm families with people from the system telling them what to do, but rather to have families talk about their needs, strengths, challenges and goals and for the Treatment Team to work with the family to build protective capacity and support a successful and safe reunification. Savio utilizes Treatment Support Meetings, Team Decision Making meetings and Family Engagement meetings to achieve these goals. Each member of the team participates with the family at the center to avoid duplication of services and support the family. 2. Target population including age range, specific population characteristics, area of service, etc. Target Population Children and youth age birth to 18 years of age in kinship placements at risk of disruption. Specific Population Characteristics Kinship provider willing to accept support services. Weld County Department of Human Services RFP Number B1700080 Savio Kinship Services Scope Service Page 1 of 3 Area of Service Savio is able to offer Kinship Service throughout Weld County, including the southern region of the county. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Kinship services may be reimbursable by Medicaid depending of the needs of the family. Savio is a Medicaid provider and will explore the ability to bill Medicaid on a case by case basis. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Fee for Service $1,600/month partial months prorated 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Amy Beery Shawna Bernath Kristina Carstensen Kain Karla Castillo Anastasia Colangelo Kathryn Dunn Jessica Dyrud Kristin Foslid Brynna Hetrick — DORA in process Dana Johnson Megan Kearsley Jared Kellerman Theodore Lemann Sarah Mog Dana Nielsen Weld County Department of Human Services RFP Number B 1700080 Savio Kinship Services Scope Service Page 2 of 3 Angelica Onofrio Carson Pennypacker Yvette Perez Mallory Pope Shelene Richards Julia Roguski Desiree Rushmer Rodrigues Emily Schleich Ambrosia Shepard Brittany Singha Jordania Smallwood Nikkita Stonner Elizabeth Sweeney -Miller Brittany Wade Britton Whitelaw Kelly Morris Breanna VanDerMost Zaneta Evans Matt Nelson Natalie Johnson Janet Shaver Elisabeth Jacquot 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credentials # supervisor years as a Frequency of both Supervision individual and (Includes and duration group Staff to Supervisor Ratio supervision) Kinship Dana Johnson LPC, LAC 8 years 2 hrs weekly 1:8 Kinship Kristina Kain LPCC 4 months 2 hrs weekly 1:6 Kinship Megan Kearsley LPCC 6 months 2 hrs weekly 1:7 Kinship Elizabeth Doner LPC 2.5 years 1 hour weekly 1:7 Kinship Courtney Fiedler LPC, LMFT 6 years 2 hours weekly 1:5 Weld County Department of Human Services RFP Number B 1700080 Savio Kinship Services Scope Service Page 3 of 3 Savio Life Skills Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. Goal The Savio Visitation Program provides services to families whose children are in out -of -home care to improve parenting skills, increase parental protective capacity, shorten out -of -home placement stays, aggressively increase the visitation plan and prepare parents, children and youth for reunification. Description When children are in out -of -home placement, the most important focus is visitation between parents and children. All families referred to the Savio Visitation Program will begin in the Assessment Phase and progress through the continuum of services unless a different request is made by the county. Reunification plans will be developed and closely monitored through Family Engagement Meetings and/or Staffings. Savio staff work closely with parents to build on parenting strengths and develop skills in other areas with a specific emphasis on the safety concerns resulting in the placement of the children. Staff assist parents in the areas of structure, rules, discipline, bonding, nutrition and communication. A wrap-up session after each visit offers parents feedback on what went well and areas to work on next time. When parents and children are no longer in need of the structure and close monitoring, visitation begins in the community, including but not limited to: parent's home, community centers, parks, etc. The next step is to begin the reunification process through unsupervised visitation with unscheduled drop -ins by Savio staff, followed by unsupervised visitation with no drop -ins. Families should then be ready for overnight visits and reunification. Changes in the visitation plan follow court orders and are approved by DHS and the GAL. Menu of Services • Parenting Services Basic Parenting Skills (burping, diapering, physical care, emotional care); • Understanding of Child Development; • Parent/Child Bonding; • Discipline/Role Modeling; • Parent/Child Interactions (listening, communication, non-verbal contact); • Interaction Skills with Multiple Children; • Limit Setting/Alternatives to Physical Discipline; Family Planning Information; Weld County Department of Human Services RFP Number B 1700080 Savio Life Skills Services Scope Service Page 1 of 4 Safety and Risk management/Increasing Protective Capacity; and, • Teaching Healthy Boundaries & Appropriate Interactions (Physical, Sexual, and Verbal). • Health -Related Services • Health Issues (Parent, Child); • Special Needs Child(ren) (Child with disabilities); Mental Health Support Services (Parent, Child); • Impulse Control (Parent, Child); Anger Management (Parent, Child); Conflict Resolution; Stress Reduction Techniques; • Domestic Violence Information and Support; Drug/Alcohol Information; Safety Planning for Parent and Child; and, Nutritional/Dietary Planning. • Home Management Services Child Proofing Skills/Home Safety Information; Budgeting/Financial Planning; • Time Management; • Organization Skills (Personal skills and home management); Education Information (Parent, Child); and, Community Resources. Personalized Services Needed Personal Hygiene; • Self Esteem/Trust Building; and, Emancipation Skills. 2. Target population including age range, specific population characteristics, area of service, etc. Target Population Families with children age birth to 18 years of age in need of supervised visitation. Specific Population Characteristics Families in need of supervised visitation. Area of Service Savio is able to offer Lifeskills/Visitation services throughout Weld County, including the southern region of the county. Savio also has offices in the Colorado Springs for visitation with children placed in that area. Weld County Department of Human Services RFP Number B 1700080 Savio Life Skills Services Scope Service Page 2 of 4 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Visitation services are generally not reimbursable by Medicaid. Occasionally, there is a therapeutic need that can be managed in the visitation session. Savio is a Medicaid provider and will explore the ability to bill Medicaid on a case by case basis. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Fee for Service $75/hour (travel time not included) 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Amy Beery Shawna Bernath Kristina Carstensen Kain Karla Castillo Anastasia Colangelo Kathryn Dunn Jessica Dyrud Kristin Foslid Brynna Hetrick — DORA in process Dana Johnson Megan Kearsley Jared Kellerman Theodore Lemann Sarah Mog Dana Nielsen Angelica Onofrio Carson Pennypacker Yvette Perez Weld County Department of Human Services RFP Number B 1700080 Savio Life Skills Services Scope Service Page 3 of 4 Mallory Pope Shelene Richards Julia Roguski Desiree Rushmer Rodrigues Emily Schleich Ambrosia Shepard Brittany Singha Jordania Smallwood N ikkita Stonner Elizabeth Sweeney -Miller Brittany Wade Britton Whitelaw 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credentials # years as a supervisor Frequency Supervision individual supervision) and (Includes duration and group of both Staff Supervisor Ratio to Lifeskills Dana Johnson LPC, LAC 8 years 2 hrs weekly 1:8 Lifeskills Kristina Kain LPCC 4 months 2 hrs weekly 1:6 Lifeskills Megan Kearsley LPCC 6 months 2 hrs weekly 1:7 Weld County Department of Human Services RFP Number B 1700080 Savio Life Skills Services Scope Service Page 4 of 4 Savio Mental Health Services Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. Trauma -Focused Cognitive Behavioral Therapy (TF CBT) Overview of Service Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is an Evidenced -Based Treatment for children ages 3 — 18 years experiencing trauma -related difficulties as the result of one or multiple traumatic events and their non -offending parent/caretaker. TF-CBT can be delivered in a variety of setting including home, kinship, adoptive home, residential treatment facility, group home etc. Examples of traumatic events addressed by TF-CBT: • Child Abuse: Sexual, Physical, Neglect, Emotional • Victim/Witness of Violence: Domestic, Community, School • Accidents: motor vehicle • Disasters • War/Terrorism and Refugee • Medical: e.g. diagnosis, invasive medical procedures • Traumatic Grief and Loss TF-CBT has proven to be effective in addressing posttraumatic stress disorder, depression, anxiety, externalizing behaviors, sexualized behaviors, feelings of shame, and mistrust. The parental component increases the positive effects for children by reducing parents' own levels of depression and emotional distress about their children's abuse and improving parenting practices and support of their child. TF-CBT incorporates trauma sensitive interventions with cognitive behavioral, family and humanistic principles and techniques. Children and their parents or caregivers learn new skills to process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings and behaviors related to traumatic life events; and, enhance safety, growth, parenting skills and family communication. Length of Stay TF-CBT is designed to be a relatively short intervention lasting 12 — 20 sessions; typically one 90 minute session is completed each week. Longer lengths of stay do occur with more complex trauma symptoms. Weld County Department of Human Services RFP Number B 1700080 Savio Mental Health Services Scope Service Page 1 of 5 Alternatives for Families: A Cognitive -Behavioral Therapy is designed for families who are referred for problems related to the management of anger and/or aggression, which include several behaviors on a continuum reflecting the use of coercion and/or physical force. Specifically, AF- CBT seeks to improve the relationships between children and their parents/caregivers who experience any of the following clinical concerns: • Anger and verbal aggression, including emotional abuse • Ongoing family conflict • Child behavior problems, including physical aggression • Threats or use of harsh/punitive/ineffective physical discipline or punishment; • Child physical abuse Any and all of these patterns may be demonstrated by an individual caregiver or a child/adolescent, but they also may characterize the interactions of the family. Accordingly, AF-CBT targets individual caregiver and child characteristics, as well as the larger family context. AF-CBT is a treatment based on principles derived from learning and behavioral theory, family systems, cognitive therapy, developmental victimology, and the psychology of aggression. Program Goals: The goals of Alternatives for Families: A Cognitive -Behavioral Therapy (AF-CBT) are to: • Improve caregiver -child relationships. • Strengthen healthy parenting practices. • Enhance children's coping and social skills. • Maintain family safety. • Reduce coercive processes (anger, verbal aggression, threats of force, emotional abuse) by caregivers and other family members. • Reduce use of physical force (aggressive behavior) by caregivers, child and, if relevant, other family members. • Reduce child physical abuse risk or recidivism (prevention of child welfare system involvement or repeated reports/allegations). • Improve child safety/welfare and family functioning. Recommended Intensity: One- or two -hour-long sessions per week; sessions can be longer as needed, especially when the required treatment duration is limited to a few months due to fiscal or programmatic regulations. Longer sessions can be conducted to address multiple family problems/crises. Recommended Duration: There is no typical outpatient course of treatment, given the variability seen across referred families in problem severity, caregiver functioning, family resources, and treatment Weld County Department of Human Services RFP Number B 1700080 Savio Mental Health Services Scope Service Page 2 of 5 compliance/progress. Cases can be expected to receive between 20 and 30 hours of direct service (or longer), generally spanning 6-12 months. Delivery Settings This program is typically conducted in a(n): • Adoptive Home • Birth Family Home • Hospital • Outpatient Clinic • Residential Care Facility • School 2. Target population including age range, specific population characteristics, area of service, etc. TF CBT Target Population Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is an Evidenced -Based Treatment for children ages 3 — 18 years experiencing trauma -related difficulties as the result of one or multiple traumatic events and their non -offending parent/caretaker. Specific Population Characteristics TF-CBT is NOT an intervention for the offending parent; if the parent is the perpetrator/cause of the traumatic event, TF-CBT is not the appropriate trauma treatment. However, these children can be served in this model if there is a non -offending parent or caretaker to participate. Savio is looking to expand the continuum of trauma related services offered and include interventions for offending parents and trauma treatment for adults. AF CBT Target Population Eligibility Criteria - The following general criteria have been developed to facilitate the identification of individuals or families who may benefit from this intervention: • Child age 5-17 • A caregiver (biological, foster, or kinship) who will participate in services • Child and caregiver appear appropriate for AF-CBT (i.e., can participate adequately, could benefit, may eventually be together/reunified) Partially Required Characteristics (one of the following must be valid to benefit from AF-CBT): • A caregiver has an allegation or report of suspected physical abuse. • A caregiver has done something that resulted or could have resulted in injury/harm to child. • A caregiver has likely used excessive or harsh physical discipline with the child. Weld County Department of Human Services RFP Number B 1700080 Savio Mental Health Services Scope Service Page 3 of 5 • A caregiver and the child/family have conflicts and/or heated arguments, which may include caregiver verbal aggression/abuse. • The child has a pattern of oppositional, argumentative, and/or explosive/angry behaviors. • The child has been verbally or physically aggressive, or exhibited other high -risk behaviors. • The child has trauma symptoms related to a history of physical discipline or abuse. Specific Population Characteristics Caretaker is willing to participate in treatment with the child/youth. Area of Service Savio is able to offer Mental Health services throughout Weld County, including the southern region of the county. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Mental Health services are often reimbursed by Medicaid depending on the diagnosis of the child/youth. Savio is a Medicaid provider and will explore the ability to bill Medicaid on a case by case basis. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. TF CBT and AF CBT $1,082/month partial months prorated. 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Ambrosia Shepard Megan Kearsley Kristina Kain Nikkita Stonner Britton Whitelaw Weld County Department of Human Services RFP Number B 1700080 Savio Mental Health Services Scope Service Page 4 of 5 Kristin Foslid Theo Lemann Mallory Pope Shawna Bernath Shelene Richards Sarah Mog Emily Schleich Jared Kellerman Dana Johnson Michael Pantaleo Zaneta Evans Allison Borel Valerie Davis Natalie Johnson Matt Nelson Keelan McFall Micah Romero Katy Hughes Kurt Post 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credentials # years a supervisor as Frequency duration Supervision both group individual supervision) and of (Includes and Staff Supervisor Ratio to TFCBT Dana Johnson LPC, LAC 8 years 2 hrs weekly 1:8 Kristina Kain LPCC 4 months 2 hrs weekly 1:6 TFCBT/AFCBT TFCBT Megan Kearsley LPCC 6 months 2 hrs weekly 1:7 TFCBT Sarah Mog LPC, LAC 3 months 2 hrs weekly 1:4 Elizabeth Doner LPC 2.5 years 2 hours weekly 1:6 TFCBT/AFCBT TFCBT/AFCBT Michael Pantaleo LCSW 7 months 2 hours weekly 1:3 Weld County Department of Human Services RFP Number B 1700080 Savio Mental Health Services Scope Service Page 5 of 5 Savio Multi -systemic Therapy Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. Regular MST Overview of Service Savio developed its MST services in 1999, and its five teams operate fully certified services under the supervision of MST, Inc of South Carolina and the Center for Effective Interventions in Denver, Colorado. Savio's MST programs are recognized as high quality and highest fidelity MST services. Savio MST strives to successfully reintegrate youth back into the community or to prevent out -of - home placement of pre -adjudicated and sentenced youth by providing a Blueprints Program. These programs are recognized by the Office of Juvenile Justice and Delinquency Prevention as having demonstrated through numerous research efforts to have successful and sustainable outcomes. Services aim to prevent recidivism, strengthen parental involvement, stress responsibility and prepare the youth for a pro -social lifestyle. This goal is achieved through individualized services, client supervision, family involvement and community collaboration. Research in the juvenile delinquency and substance abuse fields has identified four key risk factors related to antisocial behavior in adolescents. These risk factors - association with negative peers, poor family relations, challenges in school and lack of neighborhood/community support - are directly addressed by the MST model. The MST Therapist utilizes a fit circle as an assessment tool to identify the systemic drivers of antisocial behavior, which then guides interventions with the family. A major goal of MST is to empower parents with the skills and resources needed to independently address the difficulties that arise in raising teenagers and to teach youth to cope with problems they encounter with the family, peers, school and neighborhood. Savio's MST program strives to promote behavior change in the youth's natural environment using the strengths of each system to facilitate change. The Savio MST Therapist focuses on helping parents become self-sufficient problem solvers. Intervention strategies include structural family therapy, strategic family therapy, behavioral parent training and cognitive behavioral therapies. The design and implementation of MST interventions is based on nine core principles. The nine core principles of MST are: • The primary purpose of assessment is to understand the fit between the identified problems and their broader systemic context (how problems "make sense" in a given context). • Therapeutic contacts emphasize the positive and use systemic strengths as levers for change. Weld County Department of Human Services RFP Number B 1700080 Savio Multi -systemic Therapy Scope Service Page 1 of 4 • Interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. • Interventions are present -focused and action -oriented, targeting specific and well-defined problems. • Interventions target sequences of behavior within and between multiple systems that maintain identified problems. • Interventions are developmentally appropriate and fit the developmental needs of the youth. • Interventions are designed to require daily or weekly effort by family members. • Intervention effectiveness is evaluated continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes. • Interventions are designed to promote treatment generalization and long-term maintenance of therapeutic change by empowering caregivers to address family members' needs across multiple systemic contexts. MST interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. Staff aim to effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. 2. Target population including age range, specific population characteristics, area of service, etc. Target Population The targeted population for MST is chronic, violent or substance abusing male and female juvenile offenders, ages 11 to 18 and their families. In addition, MST works with juveniles with a mental health diagnosis or who are emotionally disturbed. Youth served are at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. Specific Population Characteristics No additional. Area of Service Savio is able to offer MST services throughout Weld County, including the southern region of the county. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Savio is an approved MST Medicaid provider. Weld County Department of Human Services RFP Number B1700080 Savio Multi -systemic Therapy Scope Service Page 2 of 4 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Fee for Service $1,794/month partial months prorated. 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Janet Shaver Elisabeth Jacquot Mollie Brown Mellisa Ornelas Elizabeth Anguiano Linda Doud Shaun Hutto Julie Brown Weld County Department of Human Services RFP Number B1700080 Savio Multi -systemic Therapy Scope Service Page 3 of 4 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credential s # years as a supervisor Frequency duration Supervision both group individual supervision) (Includes and and of Staff Supervisor Ratio to MST Janet Shaver LPC 1 2 per supervision biweekly needed hours week, group- individual and 1 1 time hour as 4 to 1 MST Julie Brown LCSW 8 2 per supervision biweekly needed hours week, group- individual 1 and 1 time hour as 4 to 1 MST Courtney Fiedler LPC, LMFT 6 2 hours a week I to 5 Weld County Department of Human Services RFP Number B 1700080 Savio Multi -systemic Therapy Scope Service Page 4 of 4 Savio Sexual Abuse Treatment Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. Sexual Abuse Intervention (SAI): The Sexual Abuse Intervention Program works with sexually abusive adolescents and their families to stop abusive behavior and prevent its recurrence through monitoring, education and therapeutic intervention. The program utilizes a high level of supervision and involvement and emphasizes community safety and client accountability at all times. The program serves adolescents, twelve to eighteen years of age, who have committed a sexual offense. The SAI program complies with all SOMB standards and guidelines and works with the youth to successfully complete offense specific treatment. The program services described here can be delivered in varying lengths of time, depending on the needs of the individual client and family. Estimated length of stay is agreed upon at intake and re- evaluated throughout the course of treatment. The needs and safety of victims and/or children within the home, family and client functioning and wishes, the juvenile court mandate, the objectives of the referral source and the recommendations of involved parties and the multi- disciplinary team dictate length of service. The philosophy of the Sexual Abuse Intervention Program is that sexually abusive adolescents can be successfully treated in a home or community setting if their risk levels or behaviors do not raise safety concerns for themselves or others. SAI client and families served receive intensive, home based services. In addition to providing Informed Supervision training and individual and family therapy, the assigned SAI Therapist assists with school safety plan meetings and attends other school meetings as appropriate, helps the family and client create safety plans and helps with registration if required. Depending on the needs of the client the SAI therapist may also assist the client with obtaining employment or locating recreational activities, monitor client functioning in school, in the employment setting, and other community settings, complete random home checks, provide mentoring activities, assist with school or offense -specific homework. The SAI Program utilizes an offense -specific treatment approach. Offense -specific treatment is defined as a comprehensive set of planned therapeutic experiences and interventions targeted to change problem sexual behaviors and attitudes while also increasing prosocial and positive behaviors. Treatment addresses the occurrence and dynamics of sexually abusive behavior and utilizes specific strategies to promote change. Offense -specific programming focuses on the details and components of the sexual offense, including fantasies, arousal, planning, grooming, coercive and silencing behaviors, denial and rationalizations. Treatment also addresses assisting clients and families in identifying, challenging and changing abusive behavior patterns that may not be sexual in nature and replacing them with healthy alternatives. Weld County Department of Human Services RFP Number B1700080 Savio Sexual Abuse Treatment Scope Service Page 1 of 7 The Sexual Abuse Intervention Program holds clients accountable through the combined use of clients' internal controls and external control measures such as polygraphs, monitoring, safety contracts and plans and relapse prevention plans. This approach requires the integration of attitudes, expectations, policies, procedures and practices, and is implemented through intra- agency and multi -disciplinary teamwork. The Sexual Abuse Intervention Program utilizes the following principles as the foundation of the treatment approach: • Community safety is the primary concern. • Assessment of clients with sexual offenses is an on -going process; therefore, level of risk if not constant over time. • Victims have a right to safety and self-determination. • Remorse and empathy should be expressed through accountability to victims. • Youth who are sexually abusive have often been victims of abuse and neglect themselves; it is important that they experience empathy and support from others while being challenged to develop this capacity in themselves. • Treatment of clients with sexual offenses requires a coordinated team response. • Effective treatment focuses both on extinguishing abusive behaviors and on addressing healthy, age -appropriate development and sexuality. Treatment should also address improving social and emotional skills and development. • Successful treatment and supervision of clients with sexual offenses is enhanced by the positive cooperation of family, friends, employers and members of the community who have influence in their lives. • Treatment of clients with sexual offenses should seek, whenever possible, to strengthen clients' emotional ties to family, friends and community. The Sexual Abuse Intervention Program utilizes a family -focused approach to treatment planning, implementation and evaluation. Families participate in weekly family therapy sessions, facilitated by a SAI Therapist. Family sessions are conducted primarily in the family's home; sessions may be held at the Savio House facility when alternate arrangements are necessary. If a client is expected to emancipate following completion of the program, therapy sessions will be held with collateral parties when possible. Families are required to comply with a safety contract designed for the home setting. The safety contract is established within 10 days of the family's admittance into the program and is individualized according to their needs. The safety contract is shared with the probation and human services departments. All SAI safety contract violations are to be reported to Savio House staff immediately and will be relayed to probation and other treatment team members. If the parent or guardian is unable or unwilling to comply with the safety contract, their appropriateness for the program at their respective level of care is re-evaluated. Contact between SAI clients and their victims is not allowed until approved by all parties, including the victim's therapist. If/when contact is deemed appropriate, Savio House will facilitate Weld County Department of Human Services RFP Number B 1700080 Savio Sexual Abuse Treatment Scope Service Page 2 of 7 a clarification meeting with the victim and his or her therapist and/or family, during which the SAI client takes responsibility for his actions. Contact between the victim and the SAI client will be closely monitored and at no time will the SAI client be allowed to be alone with the victim. If clients disclose additional victims, the department of human services will be notified immediately, enabling newly reported victims to receive the necessary services. Victim safety is a top priority in this program and any concerns about this area of treatment will be immediately addressed and communicated to the probation officer. Whether the client is residing at home, in the community or in a residential setting, the focus of the Sexual Abuse Intervention Program is community safety and client accountability. While clients' risk -levels should always be monitored, juveniles with a history of sexual offending are capable of decreasing their risk to re -offend and increasing their pro -social and coping skills, enabling them to function safely in the community. Strong community ties and support are also viewed as protective factors, which promote adaptive functioning and can decrease client risk. Points of transition are carefully considered and involve detailed planning. Upon graduation from the Sexual Abuse Intervention Program, clients and their families will possess the skills to: Clients: • Identify and challenge triggers or related to problem sexual behaviors • Increase of healthy and appropriate sexual thoughts and behaviors • Utilize healthy communication and coping skills • Demonstrate empathy for others • Demonstrate knowledge and use of health promotion and sustainability plans • Develop and utilize support systems with an emphasis on accountability • Identify and utilize positive social and recreational activities Parents/Guardians: • Identify and intervene in abusive behaviors • Identify risk factors and symptoms of victimization • Demonstrate consistent/appropriate supervision of all children in the household • Demonstrate a consistent ability to provide structure • Maintain healthy boundaries for all family members • Identify and meet their children's physical, social and emotional needs MST for Problem Sexual Behavior (MST PSB) Overview of Service Savio offers a specialized MST program designed to meet the needs of juvenile sex offenders. Savio is the fourth agency in the world to implement this specialized model. This program, MST Weld County Department of Human Services RFP Number B1700080 Savio Sexual Abuse Treatment Scope Service Page 3 of 7 for Problem Sexual Behaviors (MST-PSB) is an intensive, comprehensive, community- and family -based treatment modality aimed at decreasing juvenile sex offending and effectively reintegrating youth into the home and community. MST-PSB incorporates evidence -based intervention techniques and utilizes an intensive quality assurance system to support treatment fidelity. The MST-PSB model does not support or utilize any group counseling. This modality views caregivers as the key to achieving favorable clinical outcomes for their youth. To ensure their participation, caregivers are highly involved in the development and implementation of interventions. The MST-PSB model is a total behavioral health care modality that addresses all the needs of each family member. Multisystemic therapy for youths with problem sexual behaviors (MST-PSB) is a family -and community -based treatment approach that is designed to promote victim safety and reduce the likelihood of future problem behaviors and criminal activity. MST-PSB was initially validated in two randomized clinical trials demonstrating that the approach led to long-term reductions in sexual and nonsexual criminal recidivism and in days incarcerated in adulthood. A third clinical trial evaluating the effectiveness of MST-PSB is nearing completion, and the results are again very favorable. MST-PSB focuses on the wide range of individual, family, peer, and academic problems that are commonly associated with juvenile sexual offending. The MST-PSB model is driven by the same treatment principles as standard MST (i.e., with non-PSB youths), utilizes a comprehensive and logically derived treatment planning and assessment process, and maintains an ecological and systemic perspective on treatment. However, MST-PSB moves beyond standard MST practice in that it specifically focuses on aspects of the youth's ecology that are functionally related to the youth's sexual delinquency. MST-PSB strongly emphasizes the development and implementation of comprehensive, ecologically -based safety plans to minimize the risk of youth reoffending. In addition, MST-PSB therapists receive extensive training and support in the application of structural and strategic family therapy interventions (above and beyond standard MST) to address family variables and dynamics associated with sexual and nonsexual behavior problems. Family and youth denial about sexual offenses and their sequelae is addressed through a clarification process that emphasizes social -ecological drivers. An increased emphasis is also placed on the youth's peer relations so as to encourage age appropriate and normative sexual experiences. Parents are coached to provide clear guidance, support, and structure to facilitate the youth's development of requisite social skills for initiating and maintaining healthy peer relationships MST PSB interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. Staff aim to effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. Weld County Department of Human Services RFP Number B 1700080 Savio Sexual Abuse Treatment Scope Service Page 4 of 7 2. Target population including age range, specific population characteristics, area of service, etc. Target Population The Savio SAI program serves adolescent males and females, up to twenty years of age, who have committed a sexual offense, both adjudicated and non -adjudicated sexually reactive youth and youth with boundary issues and/or harassment behaviors. The program targets youth who have identified caretakers who are willing to participate in the SAI CBS program and provide the necessary monitoring and supervision. Additionally, Savio serves emancipating youth with problem sexual behaviors. These services focus on identifying high -risk situations, safety planning and relapse prevention, community and family support as youth re -integrate into the community and develop independent living skills. Savio's SAI program can also serve children under the age of 10 who are displaying concerning sexualized behaviors or boundary issues. This service is paired with Savio's CP service. Target Population The targeted population for MST PSB is juvenile ages 11 to 18 and their families who are struggling with problem sexual behaviors. These juveniles could be adjudicated or non - adjudicated. In addition, MST PSB works with juveniles with a mental health diagnosis or who are emotionally disturbed. Youth served are at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. Savio MST PSB is an SOMB approved treatment modality Specific Population Characteristics Nothing further to add. Area of Service Both SAI and MST PSB are offered in the clients' home and community. Savio is able to offer both services throughout Weld County, including the southern region of the county. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid None of Savio's sexual abuse treatment models are billable to Medicaid. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Fee for Service SAI $1,933/month partial months prorated MST PSB $2,737/month partial months prorated Weld County Department of Human Services RFP Number B 1700080 Savio Sexual Abuse Treatment Scope Service Page 5 of 7 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Allison Borel Valerie Davis Zaneta Evans Keelan McFall Matthew Nelson Natalie Johnson Michael Pantaleo Janet Shaver Elisabeth Jacquot Mollie Brown Linda Doud Elisabeth Jacquot 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credential s # years as a supervisor Supervision individual supervision) and duration (Includes and Staff Supervisor Ratio to Frequency of both group Sexual Intervention (SAI) Abuse Elizabeth Doner LPC SOMB Full Operating Level Provider, approved and 2.5 1 supervision supervision consultation weekly hour weekly individual and 2 group hour and 1: 7 Weld County Department of Human Services RFP Number B 1700080 Savio Sexual Abuse Treatment Scope Service Page 6 of 7 clinical supervisor Sexual Abuse Intervention (SAI) Michael Pantaleo LCSW and SOMB Full Operating Level Provider 7 months 1 hour weekly individual supervision and 2 hour weekly group supervision and consultation 1: 3 MST-PSB Janet Shaver LPC, Associate Level SOMB 1 2 hours group- 1 time per week, individual supervision 1 hour biweekly and as needed 4 to 1 MST-PSB Courtney Fiedler LMFT, LPC, SOMB Full Operating Level Provider, approved clinical supervisor DD specialty 6 1 hour individual weekly 8 to 1 Weld County Department of Human Services RFP Number B 1700080 Savio Sexual Abuse Treatment Scope Service Page 7 of 7 Savio Substance Abuse Treatment Services Scope of Service 1. Detailed description of service component, modalities used, appropriate use of services etc. Functional Family Therapy — Contingency Management (FFT/CM): Savio is proposing to provide Functional Family Therapy Contingency Management (FFT/CM) as a service for youth involved in delinquent behavior and substance use or abuse. Contingency Management (CM) is the only evidence based substance abuse model, meaning its research shows that it effectively reduces the use of drugs and alcohol and decreases delinquent behavior and involvement in the juvenile justices system. Contingency Management strategies are one of the most researched models in existence today and consistently show positive results in the reduction of alcohol and drug use. FFT/CM is the integration of Functional Family Therapy (FFT) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines the basics of FFT with the inclusion of CM. FFT is designed to rapidly engage family members and provide insight, training, and skill development so that families can confidently and appropriately manage problem adolescent behaviors without further juvenile justice system involvement. Functional Family Therapy (FFT) is a short-term, well -documented program which has been successfully applied to a wide range of problem youth and their families. While its foundation is FFT, FFT/CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober and these drivers are leveraged to influence future behavior. The following are the five components of CM that are added to the tradition process of FFT. 1. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers 2. Family Drug -Management Planning, including Drug -Refusal Skills Training 3. Point and Level Reward System a. Identifying motivational rewards b. Personalizing the contract c. Signing the contract 4. Drug Testing Protocol to monitor the drug use 5. Strong focus on engagement and sustainability Therapists assess the substance use via screening tools (i.e., Therapist flow chart and checklist 2.1 for determining appropriateness for substance abuse treatment, Modified CAGE Questionnaire, client substance index, etc.), using the flow chart to help guide which screening tools are relevant and necessary depending on the clients substance use or abuse. The therapist assesses the impact of the substance use on the family. The FFT supervisor and FFT expert consultant review the assessment results and determine whether the client is an appropriate fit for FFT/CM. Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 1 of 9 Once it is determined the juvenile is an appropriate fit for FFT/CM the therapist administers the ABC Assessment, a tool largely used in cognitive behavioral therapy, to begin the Family Drug - Management Planning. The ABC Assessment helps to identify the antecedents, or triggers, to the substance use. Triggers may include people, places, events, thoughts and feelings that drive the use of alcohol or drugs. Next, the therapist assists the client to identify the behavior itself- what does the client do when a trigger is present. Then, the therapist facilitates the identification of consequences- both positive and negative- that reinforces the use. The therapist uses a guide to help probe deeper and gain a full understanding of the drivers and consequences of the behavior. After triggers and consequences are identified, the therapist helps the youth and caregiver develop skills for managing or avoiding the identified triggers. The therapist teaches the client these skills and also teaches the caregiver how to support the client's implementation of these new skills. The client is also trained in drug refusal skills for situations that are unavoidable. These skills are practiced in session via modeling and role playing. This allows for in -session feedback and shaping the responses in order to improve effectiveness. A plan is developed for the next time a trigger occurs. Once the youth implements the new skills in real life, a follow up session occurs right away to provide feedback and reinforcement of the skill. In addition to refusal skills, therapists assist the client to manage the environment by identifying strategies the client can use to avoid places or people that are antecedents. This includes identifying triggers or drivers within the client's social network, including friends and social activities. The next component of CM is to develop a point -and -level system. The therapist collaborates with the family to develop a reward menu specific to the youth, identifying rewards that are desirable to the youth and achievable by the parents (looking for sustainable, realistic rewards). The program assists families by initially purchasing rewards, but expects the family to develop rewards they can maintain after treatment is completed. The rewards are quantified, giving smaller rewards for lower level achievement and larger rewards for longer -term success. An example of the system is the youth earns points for each clean UA. The points can be cashed in via a "checkbook" system where a certain number of points "buys" a certain type of reward. The points earned are tallied, as well as, those cashed in. The rewards are meant to be delivered immediately after the clean UA. The program is designed so UA results are read on the spot. This is key for the effectiveness of FFT/CM. Research shows that rewards are most effective when tied closely to the desired behavior. In FFT/CM, youth cannot cash in points when they have hot UAs. Consequences are also administered immediately to further connect the impact of the client's choices. After a number of weeks with clean UAs, clients can advance levels which allots them more points per clean UA. This plan is developed into a formal contact that is signed by all involved (youth, caregiver, and therapist). The next steps are to implement the tools and monitor the client's behavior. Having a formal plan allows for the family to evaluate how well each aspect is working and tweak accordingly. For example, perhaps the client needs a more desirable reward on the menu for a particular behavior or an additional skill is identified that is necessary to address triggers. The plan can be adjusted Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 2 of 9 and updated as these learnings occur allowing for an evolution of the program to meet each client's needs as they adjust and change. As a client achieves success and nears the end of treatment, the ABC assessment is re -administered to measure the positive change. The therapist again facilitates a process to identify the triggers and how the client responds differently now. The new skills are incorporated into a sustainability plan. The reward menu may also be updated. Treatment at this stage also focuses on helping the family identify triggers or situations that haven't presented themselves yet and how to address them. A plan for ongoing substance use testing is developed. And finally, the plan outlines criteria for when the family or client will contact the therapist again or return to therapy. This portion of CM aligns closely with the standard FFT components as we seek to develop a plan to sustain the changes. In FFT/CM, we identify not only what they family gained in treatment for the substance use, but all of the tools they gained to sustain success in school, at home, with friends, etc. Testing of Substance The process of the collection and urine analysis (UA) in FFT sessions is done as a family — not the therapist and client alone — which mirrors the relational focus in FFT. The UA protocol is as follows: A designated family member will check the bathroom to ensure there are no chemicals or supplies that could alter the results of the UA. A family member monitors the collection of the urine specimen. The youth will place the cap on the specimen. The caregiver will read the temperature strip to ensure it is a proper temperature. The family member starts the analysis and the additional family members and therapist observe and report the results of the UA to everyone in session. While there is no doubt the therapist is monitoring substance use through the UA process, the protocol developed for FFT-CM UA's attempts to reduce any risk of alliance imbalance and to develop family skills and empowerment. Urine will be collected at each designated FFT session at the beginning of the session and analysis occurs immediately after collection. There are a variety of ways the UA test cup can be voided or made invalid so in practice, the therapist should always have a spare test cup with them at sessions. To reduce opportunities for contamination, after the designated family member checks the bathroom for possible contaminants they will carry the test cup into the bathroom and give it to the youth once they are immediately ready to provide the specimen. While not done frequently, families can also conduct UA screens between sessions. As previously mentioned, the goal is provide immediate rewards or consequences to increase the effectiveness of the drug screening intervention. Therefore the specimen is not sent to a lab unless the multidisciplinary team has requested this. If this has been requested, the therapist will seal the specimen in a bag and return it to Savio House, where it will be then transported to a testing lab. All results will be shared with the treatment team. Multisystemic Therapy- Contingency Management (MST -CM) Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 3 of 9 Description of Program/Services to be Provided Savio is proposing to provide Multisystemic Therapy with Contingency Management (MST -CM) as a service for youth involved in delinquent behavior and substance use or abuse. MST -CM is the only evidence based substance abuse model, meaning its research shows that it effectively reduces the use of drugs and alcohol and decreases delinquent behavior and involvement in the juvenile justices system. Contingency Management strategies are one of the most researched models in existence today and consistently show positive results in the reduction of alcohol and drug use. MST -CM is the integration of Multisystemic Therapy (MST) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines MST with the inclusion of CM. As mentioned in Savio's application for MST services (Program A. Multisystemic Therapy), MST is an intensive family and community -based treatment that addresses the multiple determinants of serious antisocial behavior in juvenile offenders. The multisystemic approach views individuals as being nested within a complex network of interconnected systems that encompass individual, family and extrafamilial (peer, school, neighborhood) factors. Intervention may be necessary in any one or a combination of these systems. The primary goals of MST are to reduce youth criminal activity, reduce other types of antisocial behavior, such as drug use or gang membership, and achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. MST aims to achieve these goals through a treatment that addresses the risk factors in an individualized, culturally relevant, comprehensive and integrated fashion; and that empowers families to enhance protective factors. MST is designed to rapidly engage family members and empower parents. While its foundation is MST, MST -CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober. These drivers are then leveraged to influence future behavior. Clients that are appropriate for MST -CM are those abusing substances and continue to do so despite risk for negative outcomes (such as arrest, probation, family conflict, etc.). Ideal candidates are those clients and caregivers who acknowledge the need for treatment. Although these clients can be treated solely with MST, juvenile justice studies have shown that MST -CM can lead to a quicker reduction of drug and alcohol use (MSTservices.com, January 22, 2016). The following are the five components of CM that are added to the traditional process of MST. 1. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers 2. Family Drug -Management Planning, including Drug -Refusal Skills Training 3. Point and Level Reward System a. Identifying motivational rewards b. Personalizing the contract Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 4 of 9 c. Signing the contract 4. Drug Testing Protocol to monitor the drug use 5. Strong focus on engagement and sustainability Therapists assess the substance use via screening tools (i.e., Therapist flow chart and checklist 2.1 for determining appropriateness for substance abuse treatment, Modified CAGE Questionnaire, client substance index, etc.), using the flow chart to help guide which screening tools are relevant and necessary depending on the clients substance use or abuse. The therapist assesses the impact of the substance use on the 5 primary systems of the juvenile's ecology (home, school, peer, community and individual). The MST supervisor and MST expert consultant review the assessment results and determine whether the client is an appropriate fit for MST -CM. Once it is determined the juvenile is an appropriate fit for MST -CM the therapist administers the ABC Assessment, a tool largely used in cognitive behavioral therapy, to begin the Family Drug - Management Planning. The ABC Assessment helps to identify the antecedents, or triggers, to the substance use. Triggers may include people, places, events, thoughts and feelings that drive the use of alcohol or drugs. Next, the therapist assists the client to identify the behavior itself- what does the client do when a trigger is present. Then, the therapist facilitates the identification of consequences- both positive and negative- that reinforces the use. The therapist uses a guide to help probe deeper and gain a full understanding of the drivers and consequences of the behavior. After triggers and consequences are identified, the therapist helps the youth and caregiver develop skills for managing or avoiding the identified triggers. The therapist teaches the client these skills and also teaches the caregiver how to support the client's implementation of these new skills. The client is also trained in drug refusal skills for situations that are unavoidable. These skills are practiced in session via modeling and role playing. This allows for in -session feedback and shaping the responses in order to improve effectiveness. A plan is developed for the next time a trigger occurs. Once the youth implements the new skills in real life, a follow up session occurs right away to provide feedback and reinforcement of the skill. In addition to refusal skills, therapists assist the client to manage the environment by identifying strategies the client can use to avoid places or people that are antecedents. This includes identifying triggers or drivers within the client's social network, including friends and social activities. The next component of CM is to develop a point -and -level system. The therapist collaborates with the family to develop a reward menu specific to the youth, identifying rewards that are desirable to the youth and achievable by the parents (looking for sustainable, realistic rewards). The program assists families by initially purchasing rewards, but expects the family to develop rewards they can maintain after treatment is completed. The rewards are quantified, giving smaller rewards for lower level achievement and larger rewards for longer -term success. An example of the system is the youth earns points for each clean UA. The points can be cashed in via a "checkbook" system where a certain number of points "buys" a certain type of reward. The points earned are tallied, as well as, those cashed in. The rewards are meant to be delivered immediately after the clean UA. The Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 5 of 9 program is designed so UA results are read on the spot. This is key for the effectiveness of MST - CM. Research shows that rewards are most effective when tied closely to the desired behavior. In MST -CM, youth cannot cash in points when they have hot UAs. Consequences are also administered immediately to further connect the impact of the client's choices. After a number of weeks with clean UAs, clients can advance levels which allots them more points per clean UA. This plan is developed into a formal contract that is signed by all involved (youth, caregiver, and therapist). The next steps are to implement the tools and skills taught to manage and avoid the identified triggers and monitor the client's behavior. Having a formal plan allows for the family to evaluate how well each aspect is working and tweak accordingly. For example, perhaps the client needs a more desirable reward on the menu for a particular behavior or an additional skill is identified that is necessary to address triggers. The plan can be adjusted and updated as these learnings occur allowing for an evolution of the program to meet each client's needs as they adjust and change. As a client achieves success and nears the end of treatment, the ABC assessment is re -administered to measure the positive change. The therapist again facilitates a process to identify the triggers and how the client responds differently now. The new skills are incorporated into a sustainability plan. The reward menu may also be updated. Treatment at this stage also focuses on helping the family identify triggers or situations that haven't presented themselves yet and how to address them. A plan for ongoing substance use testing is developed. The plan may outline criteria for when the family or client might need to reach out to the therapist again if issues should arise. This portion of CM aligns closely with the standard MST components as we seek to develop a plan to sustain the changes. Booster sessions are available to families to help them refer back to their sustainability plan. In MST -CM, we identify not only what they family gained in treatment for the substance use, but all of the tools they gained to sustain success in school, at home, with friends, etc. Testing of substances MST -CM clinicians are trained to train caregivers to implement substance use monitoring, such as urinalyses and breathalyzer testing. The goal here, in keeping with the MST model, is to empower parents to hold their child accountable by implementing the testing when they see fit, regardless if the therapist is present. Caregivers will provide substance use testing randomly each week and when use is suspected. First, the therapist introduces drug testing protocol, to both caregiver and youth. The therapist educates the caregiver on action steps to conduct before administering the UA. This includes taking everything out of the bathroom that could potentially be used to tamper with the specimen. This also includes sealing water faucets. The youth will be instructed to remove any jackets or bulky excess clothing. Pockets will be checked. While obtaining the specimen, the caregiver will stand at the doorway, facing out so as to hear suspicious activity while providing the youth with privacy, especially if the caregiver and youth are of opposite gender. The youth will place the cap on the specimen. The caregiver will read the temperature strip to ensure it is a proper temperature. As Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 6 of 9 previously mentioned, the goal is provide immediate rewards or consequences to increase the effectiveness of the drug screening intervention. Therefore the specimen is not sent to a lab unless the multidisciplinary team has requested this. All results will be shared with the treatment team. 2. Target population including age range, specific population characteristics, area of service, etc. Target Population and Specific Population Characteristics Functional Family Therapy — Contingency Management (FFT/CM) FFT CM targets youth between the ages of 11 and 18 and includes treatment to the siblings of the referred adolescent when appropriate. Clients that are appropriate for FFT/CM are those abusing substances and continue to do so despite risk for negative outcomes (such as arrest, probation, family conflict, etc.). Ideal candidates are those clients and caregivers who acknowledge the need for treatment. Although these clients can be treated solely with FFT, juvenile justice studies have shown that FFT/CM can lead to a quicker reduction of drug and alcohol use. Target Population and Specific Population Characteristics MST CM Therapists assess the substance use via screening tools (i.e., Therapist flow chart and checklist 2.1 for determining appropriateness for substance abuse treatment, Modified CAGE Questionnaire, client substance index, etc.), using the flow chart to help guide which screening tools are relevant and necessary depending on the clients substance use or abuse. The therapist assesses the impact of the substance use on the 5 primary systems of the juvenile's ecology (home, school, peer, community and individual). The MST supervisor and MST expert consultant review the assessment results and determine whether the client is an appropriate fit for MST -CM. Area of Service Savio delivers MST -CM and FFT-CM services in the family home and/or in community locations at times that are most convenient for family members' participation. All referrals from Weld County DHS will be served at locations within their home communities, including southern Weld County cities such as Fort Lupton, Frederick, Firestone, Dacono, Keensburg, Lochbuie, Erie and Longmont. 3. Whether the service is billable to Medicaid AND if bidder currently able to bill Medicaid Neither of these substance abuse Treatment models are reimbursed by Medicaid. 4. Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. Fee for Service FFT/CM: $1,300/month partial months prorated MST/CM $2,094.00 Weld County Department of Human Services RFP Number B1700080 Savio Substance Abuse Treatment Scope Service Page 7 of 9 5. Current resume, proof of licensure and copies of applicable training certificates for staff members who will manage and/or administer services under this proposal. Resume's attached. Savio currently employs staff who are trained and able to meet the referral numbers proposed in this RFP response. Savio employs both Master's and Bachelor degree professionals. Supervisors are Master's level with a minimum of one year experience as a worker. Savio provides specialized training regarding working with child welfare families. Staff complete a minimum of 20 hours of continuing education annually. Savio offers its employees the E -Learning training program comprising hundreds of hours of state-of-the-art training modules developed to meet standards in the human services field. All employees receive weekly supervision. Documentation of training is available upon request. List of Current Staff Working in the Program Nicole DeHerrera (FFT/CM) Kelly Morris (FFT/CM) Matt Johnson (FFT/CM Pema White (FFT/CM) Janet Shaver Elisabeth Jacquot Mollie Brown Mellisa Ornelas Elizabeth Anguiano Linda Doud Shaun Hutto Julie Brown 6. Supervisory structure of staff members and/or contractors. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. Program Supervisor Supervisor Credentials # years as a super visor Frequency Supervision and group (Includes supervision) and duration both individual of Staff Supervisor Ratio to FFT/CM Nicole DeHerrera LPC 4 years 1 1 consultation hour hour weekly weekly individual group supervision supervision and 1 supervisor to therapists 7 MST Janet Shaver LPC 1 2 individual biweekly hours group- and supervision as 1 needed time per 1 week, hour 4 to 1 -CM Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 8 of 9 MST -CM Courtney LPC, LMFT 6 2 hours group per week 5:1 Fiedler Weld County Department of Human Services RFP Number B 1700080 Savio Substance Abuse Treatment Scope Service Page 9 of 9 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide the following services under this agreement: a. Aftercare b. Foster Parent Consultation (FPC) c. Functional Family Therapy (FFT) d. Home Based Intensive Services (Community Based Services (CBS) -Adolescents) e. Home Based Intensive Services (Community Based Services (CBS) -Child Protection) f. Life Skills g. Mental Health Services (Trauma Informed Cognitive Behavioral Therapy (TF-CBT)) h. Multisystemic Therapy (MST) i. Multisystemic Therapy Problem Sexual Behavior (MST-PSB) j. Sexual Abuse Treatment (Sexual Abuse Intervention (SAI)-Adolescents) k. Sexual Abuse Treatment (Sexual Abuse Intervention (SAI)-Child Protection). 2. Aftercare: Contractor will provide aftercare services to successfully transition children and youth, ages birth to 18 years from out -of -home placement, including foster or kinship care, to permanent placement with biological family or another permanent placement. Reunification must be within two to four weeks from the date of the referral. The goals of the program are to build protective capacity, provide comprehensive treatment services, involve extended family/kin members, and develop support resources for long term family stabilization. Services may be eligible for Medicaid depending on the needs of the family. 3. Functional Family Therapy (FFT)' Contractor will provide Functional Family Therapy (FFT) services to male and female youth within the approximate age range of 11-18 years of age, and their families, residing in Weld County, as referred by the Department. a. Contractor has an office in Denver. b. Services are usually provided in -home in accordance with the National Functional Family Therapy (FFT) model, and its standards and guidelines. All services are overseen/ supervised by a FFT National Consultant. c. FFT utilizes Family Interventions, Cognitive Behavioral Therapy, Family Therapy, school and community interventions, and substance abuse intervention, as clinically appropriate. d. The goal of services is to: i. Reduce recidivism rates; ii. Reduce the number of youth being adjudicated or convicted of new legal violations; and iii. Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. e. Service duration is eight (8) to 12 sessions for mild case and up to 30 sessions for more difficult cases, for an average of 3.5 months. The phases of treatment are as follows. i Assessment — Assessments are given the first and last sessions, and evaluate the following: 1. Intrapersonal distress (the amount of emotional distress in the adolescent); 2. Somatic (indicates changes in physical complaints by the adolescent); 3. Interpersonal Relations (relationships with parents, other adults and peers); 1 4. Social Problems (problems that are socially related including aggression and delinquency); 5. Behavioral Dysfunction (Inattention, hyperactivity, impulsivity, concentration, ability to organization tasks and ability to handle frustration); 6. Critical Items (paranoia, obsessive -compulsive behaviors, hallucinations, delusions, suicide, mania and eating disorders). ii. Engagement/Motivation Phase (Phase I) 1. Four primary goals: a. Building an alliance between the therapist and each family members and between all family members; b. Reducing negativity and blame; c. Developing a shared family perception of the presenting problems; and d. Building hope and an expectation for change. 2. Two primary techniques used: a. Reframing — Changing the meaning of a behavior, emotion or event; challenging the family by suggesting hope and focusing on a potential for change, and linking family members together to create a more family -focused perspective of the behavior, emotion or event. b. Theme Development — Developing a family theme that describes problematic patters of behaviors and/or relationships in a way that suggests that they may be motivated by positive, though misguided, intent. iii. Behavior Change Phase (Phase II) 1. Three primary goals: a. Help families develop competencies that may facilitate changes in family risk patterns; b. Identify targets of changes; and c. Identify "pathways" of change that fit the family. 2. Contractor will identify risk and protective factors to be targeted for change prior to this phase. 3. Contractor will address four aspects of behavior change: a. Positive Communication b. Positive Parenting c. Successful Problem Solving d. Conflict Management iv. Generalization Phase (Phase III) 1. Primary goals are: a. Generalize the changes made in the Behavior change phase to other area of the family relational system; b. Maintain changes made through focused and specific relapse prevention plans; c. Support and extend the changes made by the family incorporating relevant community resources into treatment. 2. Contractor will focus on working with the family on how they will use what they learned in the Behavior Change phase to response to similar struggles within the family and systems around them in the future. Contractor will further work with the family to maintain the changes and normalize the ups and downs of changes, as well as teach the family to identify community resources for the family that will help maintain the changes made. f. Contractor is a Medicaid approved FFT provider. 4. Home Based Services Adolescent: Contractor will provide comprehensive programming, to youth, ages 13 to 20, who are emancipating, and youth 13 to 18 and their families, who are not amenable to other models of in -home services, as referred by the Department. a. Services include the following: Skill Building for Youth — Contractor will provide individual counseling to the referred youth as a means of maintaining the therapeutic relationship and teaching/modeling pro -social attitudes and values. Skills will be demonstrated to the youth and the youth will be given the opportunity to practice/role play new skills. All counseling sessions will incorporate the principles of Cognitive Behavioral Therapy and Aggression Replacement Therapy to address issues pertinent to the emancipating youth. ii. Finding and Securing Housing — Contractor will assist youth in identifying and securing housing in a appropriate neighborhood. Neighborhoods will be considered based on the following criteria: 1. Gage or other negative issues of the emancipating youth; 2. Accessibility of public transportation; 3. Proximity to job opportunities; 4. Presence of community and support services (grocery stores, banks, post office, etc.); and 5. Availability of appropriate recreational activities. iii. Budgeting and Managing Money — Contractor will teach youth to establish and maintain a workable budget and pay bills in a timely manner. Contractor will accompany youth to a local bank to establish banking services/accounts and will work with the youth to monitor expenditures and adjust the budget as needed. Youth who have outstanding restitution, the Contractor will ensure a portion of each paycheck is designated towards the youth's legal obligations. iv, Community Resources — Contractor will work with the referred youth to identify needs and interests and will assist the youth in accessing appropriate community resources. This will include completing a checklist that identifies the location of the nearest bank, grocery store, post office and other neighborhood agencies. Contractor also will work with the youth to identify appropriate social supports that will continue to be a part of the youth's life in the future. v. Employment and Vocational Support — Contractor, in collaboration with the referred youth and the caseworker, will determine employment interests, aptitudes and special training completed. Contractor will assist the youth in finding employment, completing applications, developing a resume and interviewing. Transportation services are available to assist the client in accessing resources, applying for jobs, attending interviews, and completing appropriate follow up. The youth also will be taught job maintenance skills. Identified caretakers will be taught to monitor all aspects of the youth's employment including hours worked, attitude, performance and income. vi. Leisure Time — Contractor will work with the referred youth to identify the youth's recreational and social interests and assist the youth in accessing positive, age -appropriate community activities that address those interests. 3 vii. Family Support — Contractor will support the youth's reintegration into the home after placement. The CBS worker can help create household rules and structure individualized to meet the needs of the youth and family. viii. Educational Support — Contractor will evaluate the referred youth's education needs and interests through a review of educational services and plans, discussions and past records during the pre -placement interview to determine what services are required. If the youth is not enrolled in an educational program, Contractor will assist the youth in identifying and enrolling in an educational/vocational program. ix. Parenting Skills for Teen Parents — As applicable, Contractor will provide the referred teen parent, or pregnant teen, with parenting skills training and support. Contractor will determine the needs of the teen or expectant parent and address relevant topics and ensure basic parenting skills are learned. The teen also may be referred to a parenting support and education group. Topics may include, but are not limited to: 1. Newborn/infant/toddler development milestones 2. Basic needs of children 3. Age -appropriate expectations 4. Effective communication and decision -making 5. Positive discipline strategies 6. How to provide a nurturing, safe and consistent environment x. Crisis Intervention — Contractor will provide emergency response services 24 hours a day/7 days a week to assist referred youth and families in crisis. Crisis intervention may be provided by phone or through face-to-face contact dependent upon the nature of the crisis and level of intervention needed. b. Services may be reimbursable under Medicaid depending on the needs of the family. 5. Home Based Intensive Services (Child Protection): Contractor will provide family preservation or reunification services, through their Child Protection Division, to families with children age birth to 12 years, as referred by the Department, and who are in need of transitional services or family preservation services in order to prevent recidivism or placement. a. Contractor utilizes the following assessment tools (Colorado Assessment Continuum): i. North Carolina Family Assessment Scale — Reunification (NCFAS-R); ii. Colorado Risk Assessment and Re -Assessment; and iii. Colorado Safety Assessment and Plan. b. Services will include: i. Team Decision Making (TDM) — Family Group Conferences that involve extended family and kin. ii. Treatment Support Meetings — Family -centered, strength -based monthly staffing process to include parents, extended family, Contractor, Department staff, GAL, and other involved professionals. The process is anchored in the Colorado Assessment Continuum and the focus is on protective concerns that need to be resolved to eliminate the need for Department involvement. A work plan is established with the team outlining specific goals to be accomplished, action steps, strengths, and time frames for completion. iii. Parenting Skills Development — Referred families will receive both group and individual instruction with an emphasis on alternatives to physical discipline, household management, consistent delivery of rules, consequences and rewards; and knowledge of developmental milestones and nutrition. 4 c. Service Objectives: i. Strengthen the family unit with in -home, family dictated services; ii. Reduce child abuse/neglect by teaching parenting skills, eliminating safety concerns and reducing risk factors; ii. Establish permanency for children within reasonable and mandated time frames; and, iv. Provide 24 -hour crisis intervention services. d. It is the goal of services that upon completion, referred families will possess the skills necessary to: Maintain their children in their home; ii. Eliminate the need for Department or agency involvement; iii. No longer abuse or neglect their children; and iv. Improve the overall family functioning. e. Contractor will provide 24 -hour crisis intervention services to referred families. f, Contractor can embed several evidence -based services practices into the Home -Based Child Protection Services Program, including: i. SafeCare (Parenting Skills) ii. Trauma Focused Cognitive Behavioral Therapy (TF CBT) iii. Alternatives to Families: A Cognitive Behavioral Therapy b. Kinship Services: Contractor will provide Kinship Services to kinship providers with children or youth age birth to 18 years of age, who are at risk of placement disruption. The kinship provider(s) must be willing to accept supportive services. Services may be reimbursable under Medicaid depending on the needs of the family. 6. Life Skills (Visitation): Contractor will provide supervised visitation services to families with children, age birth to 18, as referred by the Department. a. Services may include: i. Parenting Services ii. Basic Parenting Skills (burping, diapering, physical care, emotional care) iii. Understanding of Child Development iv. Parenting/Child Bonding v Discipline/Role Modeling vi. Parent/Child Interactions (listing, communication, non-verbal contact) vii. Interaction Skills with Multiple Children viii. Limit Setting/Alternatives to Physical Discipline ix. Family Planning Information x. Safety and Risk Management/Increasing Protective Capacity xi. Teaching Healthy Boundaries and Appropriate Interactions (Physical, Sexual and Verbal) xii. Health -Related Services xiii. Health Issues (Parent, Child) xiv. Special Needs Child(ren) xv. Mental Health Support Services (Parent, Child) xvi. Impulse Control (Parent, Child) xvii. Anger Management (Parent, Child) xviii. Conflict Resolution xix. Stress Reduction Techniques xx. Domestic Violence Information and Support xxi. Drug/Alcohol Information xxii. Safety Planning for Parent Child 5 xxiii. Nutritional/Dietary Planning xxiv. Home Management Services xxv. Child Proofing Skills/Home Safety Information xxvi. Budgeting/Financial Planning xxvii. Time Management xxviii. Organization Skills (Personal Skills and Home Management) xxix. Education Information (Parent, Child) xxx. Community Resources xxxi. Personalized Services Needed xxxii. Personal Hygiene xxxiii. Self Esteem/Trust Building xxxiv. Emancipation Skills b. Visitation services are not reimbursable under Medicaid, however occasionally a therapeutic need may be addressed under a visitation referral, and that may reimbursable under Medicaid. 7. Mental Health Services: Contractor will provide Trauma -Focused Cognitive Behavioral Therapy (TF CBT) and Alternatives for Families: A Cognitive -Behavioral Therapy. Contractor can provide services in a variety of settings, including in the home, foster home, kinship home, group home or in a residential treatment facility. a. Trauma -Focused Cognitive Behavioral Therapy (TF-CBT): For children and youth, age 3-18 years, experiencing trauma -related difficulties as the result of multiple traumatic events, as referred by the Department. TF-CBT is appropriate for children who have experienced the following traumatic events: 1. Child Abuse: Sexual, Physical, Neglect and/or Emotional 2. Victim/Witness of Violence: Domestic, Community and/or School 3. Accidents: Motor Vehicle 4. Disasters 5. War/Terrorism and/or Refugee 6. Medical: e.g. Diagnosis, Invasive Medical Procedures 7. Traumatic Grief and Loss ii. Average of 12-20 sessions, typically 90 minutes in length, once per week. b. Alternatives for Families: A Cognitive -Behavioral Therapy (AF CBT): A Cognitive -Behavioral Therapy designed for families with problems related to the management of anger and/or aggression, which include several behaviors on a continuum reflecting the use of coercion and/or physical force. AF-CBT seeks to improve the relationships between children and their parents/caregivers who experience any of the following: 1. Anger and verbal aggressions, including emotional abuse 2. Ongoing family conflict 3. Child behavior problems, including physical aggression 4. Threats or use of harsh/punitive/ineffective physical discipline or punishment 5. Child physical abuse . The goals of AF-CBT are: 1. Improve caregiver -child relationships. 2. Strengthen healthy parenting practices. 3. Enhance children's coping and social skills. 6 4. Maintain family safety. 5. Reduce coercive processes (anger, verbal aggression, threats of force, emotional abuse) by caregivers and other family members. 6. Reduce use of physical force (aggressive behavior) by caregivers, child and, if relevant, other family members. 7. Reduce child physical abuse risk or recidivism (prevention of child welfare system involvement or repeated reports/allegations). 8. Improve child safety/welfare and family functioning. iii. Families most appropriate for this service will: 1. Have a child, or children, ages 5-17 2. Include a caregiver who will participate in services, and 3. Appear appropriate for AF-CBT (i.e., can participate adequately, could benefit, may eventually be together/reunified). iv. Families will also have one of the following required characteristics: 1. A caregiver has an allegation or report of suspected physical abuse. 2. A caregiver has done something that resulted or could have resulted in injury/harm to the child. 3. A caregiver has likely use excessive or harsh physical discipline with the child. 4. A caregiver and the child/family have conflicts and/or heated arguments, which may include caregiver verbal aggression/abuse. 5. Chie child has a pattern of oppositional, argumentative, and/or explosive/angry behaviors. 6. The child has been verbally or physically aggressive, or exhibited other high -risk behaviors. 7. The child has trauma symptoms related to a history of physical discipline or abuse. c. Contractor can bill Medicaid for services. 8. Multi -systemic Therapy and Multi -systemic Therapy Problem Sexual Behavior: Contractor will provide Multisystemic Therapy (MST) or Multisystemic Therapy -Problem Sexual Behavior (MST-PSB) services to youth ages 11-18, and their families, with chronic violence or substance abuse issues, as referred by the Department. a. Contractor will provide MST and MST-PSB in accordance with the National Multisystemic model and will comply with its standards and guidelines. b. Services usually occur in the family home or in the community, as appropriate. Contractor also has an office in Longmont, CO. c. The nine (9) core principles of MST are: i. The primary purpose of assessment is to understand the fit between the identified problems and their broader systemic context (how problems "make sense" in a given context). ii. Therapeutic contacts emphasize the positive and use systemic strengths as levers for change. Interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. iv. interventions are present -focused and action -oriented, targeting specific and well- defined problems. v Interventions target sequences of behavior within and between multiple systems that 7 maintain identified problems. vi. Interventions are developmentally appropriate and fit the developmental needs of the youth. vii. Interventions are designed to require daily or weekly effort by family members. viii. Intervention effectiveness is evaluated continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes. ix. Interventions are designed to promote treatment generalization and long-term maintenance of therapeutic change by empowering caregivers to address family members' needs across multiple systemic contexts. d. MST is a short-term and goal -oriented treatment that specifically targets those factors in each youth's social network that are contributing to his or her antisocial behavior. MST interventions typically aim to improve caregiver discipline practices, enhance family affective relations, decrease youth association with deviant peers, increase youth association with pro -social peers, improve youth school or vocational performance, engage youth in pro -social recreational outlets, and develop an indigenous support network of extended family, neighbors, and friends to help caregivers achieve and maintain such changes. Specific treatment techniques used to facilitate these gains are integrated from those therapies that have the most empirical support including cognitive behavioral, behavioral, and the pragmatic family therapies. e. MST-PSB is a specialized, comprehensive MST program designed to meet the needs of juvenile sex offenders reintegrating into the community. Emphasis is placed on aspects of the youth's ecology that specifically relate to the youth's sexual delinquency and on the youth's peer relations so as to encourage age appropriate and normative sexual experiences. Each family referred for MST-PSB will receive three (3) to four (4) hours of service per week for approximately six (6) to eight (8) months, with a focus on caregiver participation. MST-PSB does not utilize group therapy. It is approved by the Sex Offender Management Board (SOMB) as a treatment modality. f. Contractor will be available to referred families 24 hours per day/7 days per week via emergency pager or cell phone. g. Contractor can bill Medicaid for services. 9. Sexual Abuse Treatment (Sexual Abuse Intervention): Contractor will provide Sexual Abuse Intervention (SAI) services to youth, ages 12-18, who have committed sexual offenses, both adjudicated and non - adjudicated, or youth displaying boundary for harassment issues, as referred by the Department. Caregivers for referred youth must be willing to participate in the program and provide the necessary monitoring and supervision. a. Services occur in the client's home and/or community. b. Services will focus on the following: i. Identifying high -risk situations; ii. Safety planning; iii. Relapse prevention; iv. Community and family support as youth reintegrates into the community; and, v. Independent living skills. c. Contractor utilizes a high level of supervision and involvement and emphasizes community safe and client accountability at all times. Services are comprehensive, providing individual offense specific therapy, family therapy, offenses specific group therapy, facilitation of polygraph testing, informed supervision training as needed, assistance with independent living skills for 8 emancipating youth, school containment planning and home and community checks to ensure safety and supervision plans are followed. d. Key program concepts include. i. Community safety is the primary concern. ii. Assessment of clients with sexual offenses is an ongoing process; therefore, level of risk is not constant over time. iii. Victims have a right to safety and self-determination. iv. Remorse and empathy should be expressed through accountability to victims. v. Youth who are sexually abusive have often been victims of abuse and neglect themselves; it is important that they experience empathy and support from others while being challenged to develop this capacity themselves. vi. Treatment of clients with sexual offenses requires a coordinated team response. vii. Effective treatment focuses both on extinguishing deviant and abusive behaviors and on addressing healthy, age -appropriate development and sexuality. Treatment should also address improving social and emotional skills and development. viii. Successful treatment and supervision of clients with sexual offenses is enhanced by the positive cooperation of family, friends, employers and members of the community who have influence in their lives. ix. Treatment of clients with sexual offenses should seek, whenever possible, to strengthen clients' emotional ties to family, friends and community. 10. Contractor will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 11. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 12. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 13. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 14. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 15. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or the Contractor. 16. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. 9 EXHIBIT D PAYMENT SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specified in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department in Trails after May 31, 2018. Expenses incurred by the Contractor prior to the term of this agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services $1,155.50/Month (Aftercare) $1,000.00/Month (Functional Family Therapy) $1,300.00/Month (Functional Family Therapy Contingency Management) $1,600.00/Month (Home Based - Child Protection Services) $1,675.00/Month (Home Based - Child Protection with Embedded Evidence Based Services) $1,814.00/Month (Home Based - Adolescent Services) $1,600.00/Month (Kinship Services) $75.00/Hour (Life Skills - Supervised Visitation) $1,082.00/Month (Mental Health Services - TF-CBT and AF-CBT) $1,794.00/Month (Multi -systemic Therapy) $2,094.00/Month (Multi -systemic Therapy Contingency Management) $1,933.00/Month (Sexual Abuse Intervention) S2,737.00/Month (Muiti-systemic Problem Sexual Behavior) All monthly services are pro -rated for any partial month of service. Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 1 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7`^ day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. For ongoing services, proof of services rendered shall be a Client Verfication Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 A4COR0® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/03/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Insurance Services West, Inc. Denver CO office 1900 16th Street, Suite 1000 Denver CO 80202 USA CONTACT NAME: PHONE (303) 758-7688 FAX (303) 758-9458 (A/C. No. EXt): I (A/C. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURED Savio House 325 King Street Denver CO 80219 USA INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURERS: Pinnacol Assurance Company 41190 INSURERC: INSURER D: INSURER E: INSURER F: CERTIFICATE NUMBER: 570066353926 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY POLICY EXP fMM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY PHPK1645648 05/01/2011 05/01/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE 1O RENTED PREMISES (Ea occurrence) $100,000 X Sexual Molestation coverage applies MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO- GENERAL AGGREGATE $3,000,000 x POLICY JECT LOC PRODUCTS - COMP/OPAGG $3,000,000 OTHER A AUTOMOBILE LIABILITY PHPK1645648 05/01/2017 05/01/2018 COMBINED SINGLE LIMIT (Ea accident) 51,000,000 X ANY AUTO BODILY INJURY ( Per person) OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) — HIRED AUTOS ONLY — NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) X Call Ded: El 000 X Camp Ded. $500 A X UMBRELLAUAB X OCCUR PHUR581785 05/01/2017 05/01/2018 EACH OCCURRENCE $10,000,000 EXCESSLIAB CLAIMS -MADE AGGREGATE $10,000,000 DED I X'RETENTION 810 000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ,, / N 984642 05/01/2017 05/01/2018 X I PER STATUTE I 1OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N N/A E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A Misc Liab Cvg PHPK1645648 05/01/2017 05/01/2018 Prof each Occ. Aggregate $1,000,000 $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) State of Colorado/Department of Human services and weld Adolescent Resources, Inc. are included as Additional Insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE weld county Department of Human 315 A N. 11th Avenue PO Services EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE BOX A Greeley c0 80632 USA tp/ ` �i6 t frdr6itE9tQS ib24fYi9 X � ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : AC RO CA AGENCY CUSTOMER ID: 10587081 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY Aon Risk Insurance Services West, Inc. NAMED INSURED Savio House POLICY NUMBER See Certificate Number: 570066353926 CARRIER See certificate Number: 570066353926 NAIC CODE EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSIJRI?R INSURER INSURER INSURER ADDITIONAL, POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SCBR WVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/VYVY) POLICY EXPIRATION DATE. (MM/DD/VYYY) LIMITS OTHER A EPL - Primary PHSD1240991 claims Made SIR applies per policy terms 05/01/2017 & conditions 05/01/2018 Aggregate Limit $10,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.
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